Individual
ANGELE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 BLOSSOM CENTRE BLVD, WILLARD, OH 44890-9317
(567) 560-3586
Mailing address
809 W MAIN ST, ASHLAND, OH 44805-1541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161946
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162162
OH
Other
Enumeration date
11/14/2017
Last updated
01/05/2022
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