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Individual
RONALD PERRY
Active
Individual
RONALD PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6411
CADTP.ORG
CA
Enumeration date
12/11/2018
Last updated
04/29/2021
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