Individual
MR. AVERY LUCAS BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., NCC, ALC
Contact information
Practice address
2911 ZELDA RD, MONTGOMERY, AL 36106-2648
(334) 262-7787
Mailing address
2911 ZELDA RD, MONTGOMERY, AL 36106-2648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3213A
AL
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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