| Doctor Name: | RANCE A BERRY II |
| NPI Number: | 1144629312 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, CSOTS |
| License Number: | 2132 |
| Business Practice Address: | 1219 Ohio Ave Dunbar, WV - 250643019 |
| Business Phone Number: | 8663082307 |
| Business Fax Number: | 8553146877 |
| Mailing Address: | 1021 Quarrier St, Ste 414 CHARLESTON |
| State: | WV |
| Postal Code: | 253012338 |
| Phone Number: | 3043403676 |
| Fax Number: | 3043403688 |
| NPI Enumeration Date: | 08/13/2014 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |