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Individual
KAREN K PERRY
Active
Individual
KAREN K PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.M.F.T.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5734
TX
106H00000X
Marriage & Family Therapist
369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257537-01
—
TX
01
—
4108103
AETNA
TX
01
—
760514412
TAX IDENTIFICATION NUMBER
TX
01
—
83459L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/11/2006
Last updated
06/06/2008
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