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Organization

DBA MARK PERKINS COUNSELING

Active
Parent organization
PERKINS ENTERPRISES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERKINS ENTERPRISES, INC.
Authorized official
MR. MARK GREGORY PERKINS LADC (DIRECTOR)
(507) 529-1758
Entity
Organization

Contact information

Practice address
1500 1ST AVE NE, SUITE 111-D, ROCHESTER, MN 55906-4170
(507) 529-1758
(507) 289-1536
Mailing address
2247 68TH ST NW, ROCHESTER, MN 55901-8862
(507) 529-1758

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10475091CDT
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407044886
NPI
MN
Enumeration date
10/10/2007
Last updated
01/03/2017
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