Individual
NOEL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
Mailing address
420 WESTCHESTER LN, VALPARAISO, IN 46385-8000
(219) 916-2001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352087048
TAX IDENTIFICATION
—
Enumeration date
05/29/2018
Last updated
05/29/2018
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