Individual
MARK PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6491
(435) 792-6608
Mailing address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6491
(435) 792-6608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
309942-6008
UT
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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