Individual provider · Type 1 NPI

Preston Eugene Berry, IADC & CRADC

Addiction (Substance Use Disorder) Counselor · Davenport, IA

NPI number 1184873804 Active

Practice location

1523 S. Fairmont Street
Davenport, IA 52802-5351

Fax (563) 322-3671

Other practice locations

  • 7585 Ingram Road #1501, San Antonio, TX 78251 · (210) 854-6801
  • 2701 17th St, Rock Island, IL 61201-5351 · (093) 779-2031
  • 3407 W Columbia Ave, Davenport, IA 52804-1313 · (210) 993-6432
  • 150 Rustleaf Dr, San Antonio, TX 78242-1215 · (210) 854-6801

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X7544 (TX)
Addiction (Substance Use Disorder) Counselor 101YA0400X11618-1121 (TX)
Addiction (Substance Use Disorder) Counselor 101YA0400X37377 (IL)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21R028 (IA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184873804

Preston Eugene Berry, IADC & CRADC's National Provider Identifier is 1184873804, issued on Sep 17, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Davenport, IA. The record was last updated on May 13, 2022.