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General NPI Number Information
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NPI Number | 1598691206
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Entity Type | Individual
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Provider Name | KARRIE LEE PERRY CSW
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Gender | Female
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 4933 S 1500 W STE 200
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City | RIVERDALE
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State | UT
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Zip | 84405-7738
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Country | US
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Telephone | 385-330-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 2723 S 600 W
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City | BRIGHAM CITY
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State | UT
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Zip | 84302-4263
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Country | US
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Telephone | 435-553-5024
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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 | 14247267-3052
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License Number State | UT
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