Martha Phoenix Berry M.A.,LPC

NPI 1679733430 - Counselor - 101YP2500X

NPI Details
NPI 1679733430
Gender Female
Enumeration Date 06/14/2008
Last Updated 06/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
31365 COACHLIGHT LN
BINGHAM FARMS MI, 48025-4403, US
Phone (248) 646-3969
Fax
Business Location
31365 COACHLIGHT LN
BINGHAM FARMS MI, 48025-4403, US
Phone (248) 646-3969
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State North Carolina
License Number 2684
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According to our database, Martha Phoenix Berry M.A.,LPC NPI is 1679733430, taxonomy code is 101YP2500X and license number is 2684, license state is located at North Carolina. Martha Phoenix Berry M.A.,LPC physically located at 31365 Coachlight Ln, Bingham Farms MI, 48025-4403. NPI Number Martha Phoenix Berry M.A.,LPC has the Individual type.

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1679733430 NPI number is provided on an as is basis without warranty of any kind. 1679733430 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Phoenix Berry M.A.,LPC are for informational purposes only.