person
Latasha Nicole Berry
Addiction (Substance Use Disorder) Counselor in Ponca City, Oklahoma
NPI 1932870821

Latasha Nicole Berry is an Addiction (Substance Use Disorder) Counselor based in Ponca City, OK and is specialized in Addiction (Substance Use Disorder). Latasha Nicole Berry practices in Ponca City, OK. The NPI Number for Latasha Nicole Berry is 1932870821 and holds a License No. (Oklahoma).

The current practice location address for Latasha Nicole Berry is 827 E Hubbard Rd, Ponca City, OK and can be reached out via phone at 620-446-2454.

Location: 827 E Hubbard Rd, Ponca City, OK, 74601-1073
person
Provider Profile Details
NPI Number
1932870821
Provider Name
Latasha Nicole Berry
Credential
Provider Entity Type
Individual
Gender
Female
Address
827 E Hubbard Rd, Ponca City, OK, 74601-1073
Phone Number
620-446-2454
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
827 E Hubbard Rd
City
State
Zip
74601-1073
Phone Number
620-446-2454
Fax Number
person
Provider Business Mailing Address Details
Address
827 E Hubbard Rd
City
State
Zip
74601-1073
Phone Number
620-446-2454
Fax Number
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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