Individual
ANDREA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1113 CEDAR VALLEY DR, CEDAR BLUFF, VA 24609-9190
(276) 963-0111
Mailing address
1113 CEDAR VALLEY DR, CEDAR BLUFF, VA 24609-9190
(276) 963-0111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
701009786
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701009786
STATE LICENSE
VA
Enumeration date
12/05/2020
Last updated
12/05/2020
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