JASON DALE BERRY

MONROE, MI
NPI1538564240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  6401014662)
Enumeration Date2014-10-24
Last Update Date2021-10-19
Business Address
Mr. JASON DALE BERRY
3250 N MONROE ST
MONROE, MI 48162-9297
Phone number: 734-384-3402
Mailing Address
Mr. JASON DALE BERRY
3250 N MONROE ST
MONROE, MI 48162-9297
Phone number: 734-384-3402
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