MEDICARE: BRITTANY PEREZ

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
1	101YM0800X	Mental Health Counselor	39005043A	IN

General Provider Information

NPI Number	:	1861288110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY PEREZ

Provider Business Mailing Address
First Line	:	3732 PREMIER DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-9656
Country	:	US
Telephone Number	:	317-504-1862
Fax Number	:

Provider Business Practice Location Address
First Line	:	3732 PREMIER DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-9656
Country	:	US
Telephone Number	:	317-504-1862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	04/15/2025

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Directions to “ BRITTANY PEREZ ” Practice Location

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