Individual
EDWARD KENNETH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(253) 391-8022
Mailing address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(253) 391-8022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61428564
WA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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