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NPI Code Detail

MEDICARE: MR. JOHN DAVID PERKINS MFT

MEDICARE: MR. JOHN DAVID PERKINS MFT
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
1106H00000XMarriage & Family Therapist39833CA

General Provider Information

NPI Number : 1043380827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN DAVID PERKINS MFT
Provider Business Mailing Address
First Line : PO BOX 590486
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94159-0486
Country : US
Telephone Number : 415-269-0601
Fax Number : 415-831-4561
Provider Business Practice Location Address
First Line : 3800 COOLIDGE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3311
Country : US
Telephone Number : 415-269-0601
Fax Number : 415-831-4561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JOHN DAVID PERKINS MFT” Practice Location

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