Individual
FRED DOUGLAS PERKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
5868 FARINGDON PL, RALEIGH, NC 27609-3931
(919) 741-3160
Mailing address
3710 EXCHANGE GLENWOOD PL APT 8, RALEIGH, NC 27612-5544
(919) 475-2641
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11164
NC
Other
Enumeration date
07/31/2019
Last updated
06/27/2023
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