Individual provider · Type 1 NPI

Jackie Berry, CSSA

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

NPI number 1770837734 Active

Practice location

166 Pawtucket Ave
Pawtucket, RI 02860-3811

Call (401) 722-4644 Map

Fax (401) 722-5280

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1770837734

Jackie Berry, CSSA's National Provider Identifier is 1770837734, issued on Oct 30, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pawtucket, RI. The record was last updated on Oct 30, 2012.