Individual
DERIK JAMES BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
113 S 3RD ST, IRONTON, OH 45638-1538
(740) 237-4702
Mailing address
306 MONROE ST, IRONTON, OH 45638-1844
(740) 861-0390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174204
OH
Other
Enumeration date
06/01/2021
Last updated
05/27/2022
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