MEDICARE: STUART J PERKINS

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1023631025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART J PERKINS

Provider Business Mailing Address
First Line	:	8950 CAL CENTER DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-3259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8946 MADISON AVE
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-4010
Country	:	US
Telephone Number	:	916-599-0673
Fax Number	:

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

Provider Enumeration Date	:	05/26/2020
Last Update Date	:	05/26/2020

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Directions to “ STUART J PERKINS ” Practice Location

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