Individual provider · Type 1 NPI

Tracy Berry, CDCA

Addiction (Substance Use Disorder) Counselor · Xenia, OH

NPI number 1992543409 Active

Practice location

282 Stelton Rd
Xenia, OH 45385-5220

Mailing address

PO Box 212
Xenia, OH 45385-0212

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.188864 (OH)

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

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About NPI 1992543409

Tracy Berry, CDCA's National Provider Identifier is 1992543409, issued on Jul 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Xenia, OH. The record was last updated on Jul 18, 2024.