Individual
SANDRA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
2 PUBLIC SQ, HAGERSTOWN, MD 21740-5550
(301) 733-1500
Mailing address
13007 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2740
(301) 992-2606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2710
MD
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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