Individual
MS. CHARLENE VIVIAN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1013 WHITNEY AVE, GRETNA, LA 70056-8050
(504) 366-3630
(504) 341-5094
Mailing address
1013 WHITNEY AVE, GRETNA, LA 70056-8050
(504) 366-3630
(504) 341-5094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1883
LA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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