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Individual
DR. KIMM MARIE PEREZ
Active
Individual
DR. KIMM MARIE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPA, LPC- S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64721
TX
101YP2500X
Professional Counselor
64721
TX
103TB0200X
Cognitive & Behavioral Psychologist
39232
TX
251B00000X
Case Management Agency
64721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336059606
—
TX
Enumeration date
06/17/2014
Last updated
05/15/2026
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