David Ray Berry, MSHR/ICAADC/LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Muskogee, OK
NPI 1831280767 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1831280767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 353 (OK)
- Practice address
- 1011 Honor Heights Dr
Muskogee, OK 74401-1318 - Phone
- (918) 577-3039
- Fax
- (918) 577-3270
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 353 | OK | Yes |
Addresses
Primary practice location
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Mailing address
23685 S 472 Rd
Tahlequah, OK 74464-1548
Phone (918) 458-0179
Other providers in Muskogee, OK
- Kate Bennish
- Kelley Benson
- Stephanie Beratto
- Lacey Layne Bernheisel
- Berry E Winn MD PLLC
- Christopher Nathaniel Beshears
- Better Sound Hearing Aid Service
- Devon Beurie
- Lakisha Renee Beverly-Reed
- Arti Dhirendra Bhakta
All providers in Muskogee, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.