CLYDE DANIEL BERRY

CHEHALIS, WA
NPI1669286951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60248171)
Enumeration Date2025-02-05
Last Update Date2025-02-05
Business Address
CLYDE DANIEL BERRY
375 SW 11TH ST
CHEHALIS, WA 98532-4700
Phone number: 360-740-3534
Mailing Address
CLYDE DANIEL BERRY
375 SW 11TH ST
CHEHALIS, WA 98532-4700
Phone number: 360-740-3534