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General NPI Number Information
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NPI Number | 1811877525
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Entity Type | Individual
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Provider Name | MATTHEW LUIS BERRY LPCC
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 6620 VIA DEL ORO
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City | SAN JOSE
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State | CA
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Zip | 95119-1452
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Country | US
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Telephone | 408-360-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 HARVEY DR APT 128
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3601
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Country | US
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Telephone | 209-395-7716
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19617
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License Number State | CA
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