Individual
KEVIN B BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
4202 W MCGAFFEY ST, ROSWELL, NM 88203-9384
(575) 623-6749
(575) 623-1322
Mailing address
505 PARK DR, ROSWELL, NM 88201-6573
(575) 317-8099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0084641
NM
Other
Enumeration date
11/17/2006
Last updated
07/21/2022
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