Individual
KEISHA NICOLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FREDERICK ST STE 3, HANOVER, PA 17331-3709
(717) 969-2894
Mailing address
325 BROOKLYN AVE, YORK, PA 17401-3806
(717) 779-5898
(717) 779-5898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10130
PA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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