Individual
MR. ERIC J. PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
11902 W WASHINGTON ST, AVONDALE, AZ 85323-8092
(708) 156-5675
Mailing address
11902 W WASHINGTON ST, AVONDALE, AZ 85323-8092
(570) 815-6567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15124
AZ
Other
Enumeration date
09/23/2008
Last updated
03/10/2023
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