Individual
MR. DAVID RAY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSHR/ICAADC/LADC
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3039
(918) 577-3270
Mailing address
23685 S 472 RD, TAHLEQUAH, OK 74464-1548
(918) 458-0179
(918) 577-3270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
353
OK
Other
Enumeration date
09/27/2006
Last updated
09/19/2007
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