| Doctor Name: | MISS KAYRENE K BERRY |
| NPI Number: | 1063429884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 5349 |
| Business Practice Address: | 100 W Central Texas Expy Suite 208 Harker Heights, TX - 765482079 |
| Business Phone Number: | 8006920073 |
| Business Fax Number: | 2546345222 |
| Mailing Address: | Po Box 101451, FORT WORTH |
| State: | TX |
| Postal Code: | 761851451 |
| Phone Number: | 8006920073 |
| Fax Number: | 2546345222 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |