Individual
KEVIN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1908 GRIFFINS GREEN BLVD, BARTOW, FL 33830-7930
(863) 667-8570
Mailing address
1908 GRIFFINS GREEN BLVD, BARTOW, FL 33830-7930
(863) 667-8570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH22274
FL
101YM0800X
Mental Health Counselor
MH22274
FL
Other
Enumeration date
08/11/2023
Last updated
01/14/2024
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