DAVID RAY BERRY

MUSKOGEE, OK
NPI1831280767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  353)
Enumeration Date2006-09-27
Last Update Date2007-09-19
Business Address
Mr. DAVID RAY BERRY MSHR/ICAADC/LADC
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 918-577-3039
Mailing Address
Mr. DAVID RAY BERRY MSHR/ICAADC/LADC
23685 S 472 RD
TAHLEQUAH, OK 74464-1548
Phone number: 918-458-0179
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