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General NPI Number Information
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NPI Number | 1649992025
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Entity Type | Organization
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Legal Business Name | PERRY COUNSELING SERVICES
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 2620 LAMAR AVE STE 116
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City | PARIS
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State | TX
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Zip | 75460-4847
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Country | US
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Telephone | 903-732-7887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6068
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City | PARIS
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State | TX
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Zip | 75461-6068
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Country | US
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Telephone | 903-732-7887
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | ANDREA PERRY
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Credential | PHD, LPC
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Telephone | 903-732-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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