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1447611777
MICHAEL BERRY
ANTIOCH, CA
NPI
1447611777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-03-15
Last Update Date
2016-03-15
Business Address
-- MICHAEL BERRY
3707 SUNSET LANE
ANTIOCH, CA 94509
Phone number: 925-522-0124
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Mailing Address
-- MICHAEL BERRY
26 RENOIR CT
OAKLEY, CA 94561-1775
Phone number: 925-698-7020
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