Individual provider · Type 1 NPI

Jo Ellen Berry, LCADC

Addiction (Substance Use Disorder) Counselor · Georgetown, KY

NPI number 1285776351 Active

Practice location

106 Osborne Way Ste B
Georgetown, KY 40324-9636

Fax (606) 547-4295

Mailing address

2901 Pigeon Roost Rd
Rush, KY 41168-8132

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X287333 (KY)

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

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About NPI 1285776351

Jo Ellen Berry, LCADC's National Provider Identifier is 1285776351, issued on Feb 13, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Georgetown, KY. The record was last updated on Nov 13, 2025.