Individual
ELLA M PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADDICTION COUNSELOR
Contact information
Practice address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 291-7201
(706) 291-7198
Mailing address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 291-7201
(706) 291-7198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1014A0400X
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
GA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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