Individual
BRIAN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W WALTON BLVD, WATERFORD, MI 48329-4191
(248) 461-6266
Mailing address
872 AMANDA LN, PONTIAC, MI 48340-1379
(248) 875-4726
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023839
MI
101YM0800X
Mental Health Counselor
6451023839
MI
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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