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Organization

CORA S. BERRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CORA SIMMERMAN BERRY LMHP LCPC, LPC, LADC (PRESIDENT)
(308) 345-1429
Entity
Organization

Contact information

Practice address
812 W 13TH ST, MC COOK, NE 69001-2927
(308) 345-1429
(308) 345-6513
Mailing address
812 W 13TH ST, MC COOK, NE 69001-2927
(308) 345-1429
(308) 345-6513

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
011
NE
101YM0800X
Mental Health Counselor
Primary
393
NE
101YP2500X
Professional Counselor
103
NE
101YP2500X
Professional Counselor
284
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100249773-00
NE
Enumeration date
12/09/2015
Last updated
12/09/2015
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