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NPI Code Detail

MEDICARE: KERSTEN PERRY LCMHCA

MEDICARE: KERSTEN PERRY LCMHCA
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
1101YM0800XMental Health CounselorA16700NC

General Provider Information

NPI Number : 1013588771
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERSTEN PERRY LCMHCA
Provider Business Mailing Address
First Line : 1205 S MAIN ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5762
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1205 S MAIN ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5762
Country : US
Telephone Number : 336-350-7605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2021
Last Update Date : 03/28/2023

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Directions to “ KERSTEN PERRY LCMHCA” Practice Location

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