Berry, Mary

Berry, Mary is an sole proprietor health care provider with primary practice located at 435 Clark Rd Ste 107 , Jacksonville FL 32218-5558. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Berry, Mary can be contacted via phone (904) 765-0665.

Contact Information

Primary practice address
435 Clark Rd Ste 107 Jacksonville FL 32218-5558
Phone: (904) 765-0665
Fax: (904) 765-0664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1730563081
LBN Legal business name Berry, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2015
Last updated Jul 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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