Organization
EBENEZER COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE T. BERRY PH.D. (CLINICAL DIRECTOR & LICENSED PSYCHO)
(865) 670-0988
Entity
Organization
Contact information
Practice address
131 N CONCORD ST, KNOXVILLE, TN 37919-2330
(865) 670-0988
(865) 670-1991
Mailing address
325 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 670-0988
(865) 670-1991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7104416
TN
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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