Individual
KAREN YOSHIMOTO BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
9201 MONTGOMERY BLVD NE # 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
Mailing address
9201 MONTGOMERY BLVD NE # 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0219191
NM
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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