| NPI | 1639835812 |
|---|---|
| Former Name | REBECCA E BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161927) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182479) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178154) | |
| 101YM0800X Counselor, Mental Health (Licence: CDCA.178154) | |
| 104100000X Social Worker (Licence: OH S.2102159-TRNE) | |
| 1041S0200X Social Worker, School (Licence: CDCA.178154) | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-08-29 |