WILSON S BERRY

SANTA MONICA, CA
NPI1336683010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-12-14
Last Update Date2016-12-15
Business Address
-- WILSON S BERRY
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
-- WILSON S BERRY
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200