Individual
ANGELA AILEEN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 MCNUTT ST, HERCULANEUM, MO 63048-1510
(636) 638-2203
(636) 638-2206
Mailing address
8025 MEADOWFIELD RD, WATERLOO, IL 62298-3268
(618) 581-8848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178012526
IL
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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