person
Jackie Berry, CSSA
Addiction (Substance Use Disorder) Counselor in Pawtucket, Rhode Island
NPI 1770837734

Jackie Berry is an Addiction (Substance Use Disorder) Counselor based in Pawtucket, RI and is specialized in Addiction (Substance Use Disorder). Jackie Berry practices in Pawtucket, RI and has the professional credentials of CSSA. The NPI Number for Jackie Berry is 1770837734 and holds a License No. (Rhode Island).

The current practice location address for Jackie Berry is 166 Pawtucket Ave, Pawtucket, RI and can be reached out via phone at 401-722-4644 and via fax at 401-722-5280.

Location: 166 Pawtucket Ave, Pawtucket, RI, 02860-3811
person
Provider Profile Details
NPI Number
1770837734
Provider Name
Jackie Berry
Credential
CSSA
Provider Entity Type
Individual
Gender
Female
Address
166 Pawtucket Ave, Pawtucket, RI, 02860-3811
Phone Number
401-722-4644
Fax Number
401-722-5280
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GH56996 05 RI
institution
Provider Business Practice Location Address Details
Address
166 Pawtucket Ave
City
State
Zip
02860-3811
Phone Number
401-722-4644
Fax Number
401-722-5280
person
Provider Business Mailing Address Details
Address
166 Pawtucket Ave
City
State
Zip
02860-3811
Phone Number
401-722-4644
Fax Number
401-722-5280
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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