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NPI Code Detail

MEDICARE: GISELLE PERRY LPC

MEDICARE: GISELLE PERRY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701004030VA
2101YP2500XProfessional Counselor2125WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053421362
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISELLE PERRY LPC
Provider Business Mailing Address
First Line : 171 TAYLOR ST
Second Line :
City : HARPERS FERRY
State : WV
Zip : 25425-3641
Country : US
Telephone Number : 304-535-6343
Fax Number :
Provider Business Practice Location Address
First Line : 171 TAYLOR ST
Second Line :
City : HARPERS FERRY
State : WV
Zip : 25425-3641
Country : US
Telephone Number : 304-535-6343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 04/07/2022

Similar Medicare Providers

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Directions to “ GISELLE PERRY LPC” Practice Location

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