Individual
JOHNNIE MARIE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
852 W COBBS CREEK PKWY, YEADON, PA 19050-3625
(609) 568-0760
Mailing address
852 W COBBS CREEK PKWY, YEADON, PA 19050-3625
(609) 568-0760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
CW022743
PA
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
CW022743
PA
Other
Enumeration date
09/26/2014
Last updated
03/21/2023
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