MEDICARE: KELLY A PERRON MS, LPC, LCMHC, AADC

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	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1114432879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY A PERRON MS, LPC, LCMHC, AADC

Provider Business Mailing Address
First Line	:	885 GOLD HILL RD # 1040
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7946
Country	:	US
Telephone Number	:	803-993-8424
Fax Number	:

Provider Business Practice Location Address
First Line	:	885 GOLD HILL RD # 1040
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7946
Country	:	US
Telephone Number	:	803-993-8424
Fax Number	:

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

Provider Enumeration Date	:	12/04/2017
Last Update Date	:	08/12/2025

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