Individual
EMILY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2325 E BURNSIDE ST, SUITE 204, PORTLAND, OR 97214-1655
(971) 266-3731
Mailing address
2325 E BURNSIDE ST, SUITE 204, PORTLAND, OR 97214-1655
(971) 266-3731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
01/12/2015
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