Individual
ANDRES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
151 N MARKET BLVD STE D, CHEHALIS, WA 98532-2677
(360) 948-0288
(360) 262-6623
Mailing address
151 N MARKET BLVD STE D, CHEHALIS, WA 98532-2677
(360) 948-0288
(360) 262-6623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60897238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60897238
—
WA
Enumeration date
11/07/2018
Last updated
11/07/2018
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