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NPI Code Detail

MEDICARE: MISS JENNIFER L. PERLA LPC

MEDICARE: MISS JENNIFER L. PERLA LPC
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 Counselor6401019117MI
2101YM0800XMental Health Counselor18968TX

General Provider Information

NPI Number : 1497882260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNIFER L. PERLA LPC
Provider Business Mailing Address
First Line : 8399 APPLE BLOSSOM LN
Second Line :
City : FLUSHING
State : MI
Zip : 48433-1192
Country : US
Telephone Number : 214-649-4959
Fax Number : 866-627-5124
Provider Business Practice Location Address
First Line : 15851 DALLAS PKWY STE 600
Second Line :
City : ADDISON
State : TX
Zip : 75001-6030
Country : US
Telephone Number : 214-649-4959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 12/03/2024

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Directions to “ MISS JENNIFER L. PERLA LPC” Practice Location

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