Individual
ANGELA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3206
(276) 223-0617
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3206
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005178
VA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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