Individual
DAVID PERIN DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1700 JAMES BASFORD PL, MT PLEASANT, SC 29466-7041
(843) 696-0977
Mailing address
1700 JAMES BASFORD PL, MT PLEASANT, SC 29466-7041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4551
SC
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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