Individual
ISAAC PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 OREGON PIKE STE B205, LANCASTER, PA 17601-4296
(610) 644-6464
Mailing address
680 AMERICAN AVE, KING OF PRUSSIA, PA 19406-4023
(610) 644-6464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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