Individual
AMANDA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 EMERSON AVE, PARKERSBURG, WV 26104-2519
(304) 239-5355
Mailing address
2910 EMERSON AVE, PARKERSBURG, WV 26104-2519
(304) 239-5355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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