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Wilson S Berry
Addiction (Substance Use Disorder) Counselor in Santa Monica, California
NPI 1336683010

Wilson S Berry is an Addiction (Substance Use Disorder) Counselor based in Santa Monica, CA and is specialized in Addiction (Substance Use Disorder). Wilson S Berry practices in Santa Monica, CA. The NPI Number for Wilson S Berry is 1336683010 and holds a License No. (California).

The current practice location address for Wilson S Berry is 909 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-314-6200.

Location: 909 Pico Blvd, Santa Monica, CA, 90405-1326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336683010
Provider Name
Wilson S Berry
Credential
Provider Entity Type
Individual
Gender
Male
Address
909 Pico Blvd, Santa Monica, CA, 90405-1326
Phone Number
310-314-6200
Fax Number
Provider Enumeration Date
12/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
909 Pico Blvd
City
Santa Monica
State
California
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider Business Mailing Address Details
Address
909 Pico Blvd
City
Santa Monica
State
California
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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