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Martha Phoenix Berry, MA,LPC
Professional Counselor in Bingham Farms, Michigan
NPI 1679733430

Martha Phoenix Berry is a Professional Counselor based in Bingham Farms, MI and is specialized in Professional. Martha Phoenix Berry practices in Bingham Farms, MI and has the professional credentials of MA,LPC. The NPI Number for Martha Phoenix Berry is 1679733430 and holds a License No. 2684 (Michigan).

The current practice location address for Martha Phoenix Berry is 31365 Coachlight Ln, Bingham Farms, MI and can be reached out via phone at 248-646-3969.

Location: 31365 Coachlight Ln, Bingham Farms, MI, 48025-4403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679733430
Provider Name
Martha Phoenix Berry
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
31365 Coachlight Ln, Bingham Farms, MI, 48025-4403
Phone Number
248-646-3969
Fax Number
Provider Enumeration Date
06/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31365 Coachlight Ln
City
Bingham Farms
State
Michigan
Zip
48025-4403
Phone Number
248-646-3969
Fax Number
person
Provider Business Mailing Address Details
Address
31365 Coachlight Ln
City
Bingham Farms
State
Michigan
Zip
48025-4403
Phone Number
248-646-3969
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2684 (North Carolina)
Definition
Definition to come...
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