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Individual

ELIZABETH LEE BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSE

Contact information

Practice address
800 WISCONSIN ST BLDG D02, EAU CLAIRE, WI 54703-3588
(715) 559-9196
Mailing address
5716 N SHORE DR, EAU CLAIRE, WI 54703-2036
(715) 559-9196

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
Primary
7949-226
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100279413
WI
Enumeration date
04/08/2022
Last updated
03/31/2026
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