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Individual
PERRY ALLEN LANDRUM
Active
Individual
PERRY ALLEN LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP, SUDPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP.CP.61590366
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61106327
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CDPT.CO.61106327
WA
Other
Enumeration date
06/28/2024
Last updated
08/10/2026
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