Individual
DEVORIA KEATON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817B S MADISON ST, WHITEVILLE, NC 28472-4613
(910) 207-6761
Mailing address
44 DREAM AVE, DELCO, NC 28436-8700
(910) 655-0698
(910) 655-0611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21951
NC
101YM0800X
Mental Health Counselor
Primary
P010377
NC
Other
Enumeration date
10/21/2015
Last updated
07/21/2022
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