Individual
ANGEL JANNIS BERKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
Mailing address
1336 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
191271
OH
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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