Lisa Berry, LADC 1

NPI #1841701547 in Revere, Massachusetts

Provider Information

NPI Number: 1841701547
Entity Type: Individual
Name: Lisa Berry, LADC 1
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LADC 1
Enumeration Date: Oct 20, 2017
Last Updated: Mar 21, 2024

Practice Location

Address: 650 OCEAN AVE UNIT 610
City: Revere
State: Massachusetts
ZIP Code: 02151-1382
Phone: (626) 675-4821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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