Individual
KEITH BERRY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
398 W BAGLEY RD STE 216, BEREA, OH 44017-1312
(216) 340-0011
Mailing address
20200 GLADSTONE RD, BEACHWOOD, OH 44122-6646
(216) 479-9525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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