Individual
CHRISTINA SLEDGE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
6268 OLD BETHEL RD, CRESTVIEW, FL 32536-5505
(850) 353-2677
Mailing address
6268 OLD BETHEL RD, CRESTVIEW, FL 32536-5505
(850) 353-2677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH16397
FL
101YM0800X
Mental Health Counselor
Primary
MH16397
FL
171W00000X
Contractor
IMH14347
FL
Other
Enumeration date
01/07/2016
Last updated
08/24/2022
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