Individual provider · Type 1 NPI

Cole Sebastian Berry

Mental Health Counselor · La Selva Beach, CA

NPI number 1619101243 Active

Practice location

360 Whiskey Hill Rd
La Selva Beach, CA 95076-8521

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619101243

Cole Sebastian Berry's National Provider Identifier is 1619101243, issued on May 11, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Selva Beach, CA. The record was last updated on Aug 10, 2011.