Organization
PEARTREE PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L PEREIRA LMHC (PROVIDER)
(765) 273-8569
Entity
Organization
Contact information
Practice address
1945 W ROYALE DR, MUNCIE, IN 47304-2265
(765) 273-8569
Mailing address
4132 W WOODS EDGE LN, MUNCIE, IN 47304-6082
(765) 716-7663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300059100
—
IN
Enumeration date
08/03/2021
Last updated
04/02/2022
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