Individual
MR. JAMES A BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
915 W MAIN ST, FESTUS, MO 63028-1723
(573) 450-1610
Mailing address
915 W MAIN ST, FESTUS, MO 63028-1723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000032
MO
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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