person
Preston Eugene Berry, IADC&CRADC
Addiction (Substance Use Disorder) Counselor in Davenport, Iowa
NPI 1184873804

Preston Eugene Berry is an Addiction (Substance Use Disorder) Counselor based in Davenport, IA and is specialized in Addiction (Substance Use Disorder). Preston Eugene Berry practices in Davenport, IA and has the professional credentials of IADC&CRADC. The NPI Number for Preston Eugene Berry is 1184873804 and holds a License No. 7544 (Iowa).

The current practice location address for Preston Eugene Berry is 1523 S. Fairmont Street, Davenport, IA and can be reached out via phone at 563-322-2667 and via fax at 563-322-3671. You can also correspond with Preston Eugene Berry through the mailing address at 1523 S. FAIRMONT STREET, DAVENPORT, IA - 52802-5351 (mailing address contact number: 563-322-2667).

Location: 1523 S. Fairmont Street, Davenport, IA, 52802-5351
person
Provider Profile Details
NPI Number
1184873804
Provider Name
Preston Eugene Berry
Credential
IADC&CRADC
Provider Entity Type
Individual
Gender
Male
Address
1523 S. Fairmont Street, Davenport, IA, 52802-5351
Phone Number
563-322-2667
Fax Number
563-322-3671
Provider Enumeration Date
09/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11618-1121 01 TX ICADC
7544 01 TX TEXAS DEPARTMENT OF STATE HEALTH SERVICES
21R028 01 IA IADC
37377 01 IL CRADC
institution
Provider Business Practice Location Address Details
Address
1523 S. Fairmont Street
City
State
Zip
52802-5351
Phone Number
563-322-2667
Fax Number
563-322-3671
person
Provider Business Mailing Address Details
Address
1523 S. Fairmont Street
City
State
Zip
52802-5351
Phone Number
563-322-2667
Fax Number
563-322-3671
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7544 (Texas)
Definition
Definition to come...
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