Individual
BLAKE NELSON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W WARM SPRINGS RD, 129, HENDERSON, NV 89014-7633
(702) 806-8618
(702) 944-7846
Mailing address
1481 W WARM SPRINGS RD, 129, HENDERSON, NV 89014-7633
(702) 806-8618
(702) 944-7846
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
NV
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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