Stephanie Berry

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ashtabula, OH

NPI 1548070097 · NPPES record last updated Mar 20, 2025

Key facts

NPI
1548070097
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
191925 (OH)
Practice address
2801 C CT
Ashtabula, OH 44004-4577
Phone
(440) 998-0722
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
191925OHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 191925 OH Yes

Addresses

Primary practice location

2801 C CT
Ashtabula, OH 44004-4577

Mailing address

2801 C CT
Ashtabula, OH 44004-4577
Phone (440) 998-0722

Other providers in Ashtabula, OH

All providers in Ashtabula, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.