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Organization

PERRY COUNSELING HEALING AND RECOVERY PLLC

Active
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Organization

PERRY COUNSELING HEALING AND RECOVERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN LLOYD PERRY LCSW, LCAS (OWNER)
(704) 908-4061
Entity
Organization

Contact information

Practice address
811 CENTRAL AVE STE 8, CHARLOTTE, NC 28204-2015
(704) 908-4061
Mailing address
2009 STRATFORD AVE, CHARLOTTE, NC 28205-2454

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/08/2020
Last updated
05/08/2020
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