Individual
CARLY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 HARWELL AVE, LAGRANGE, GA 30240-3132
(706) 837-0045
Mailing address
1234 2ND AVE APT 22, COLUMBUS, GA 31901-5241
(678) 699-4178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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