Individual
ANGELA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 N CENTRAL AVE STE 108C, PHOENIX, AZ 85020-2869
(602) 748-5200
Mailing address
8900 N CENTRAL AVE STE 108C, PHOENIX, AZ 85020-2869
(602) 748-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-18459
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC-13294
AZ
101YS0200X
School Counselor
3320482
AZ
103TS0200X
School Psychologist
Primary
3320482
AZ
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
01/17/2007
Last updated
07/22/2024
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