Individual
CODI PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 PORTOBELLO WAY, CONVERSE, TX 78109-1578
(210) 570-7074
Mailing address
9111 PORTOBELLO WAY, CONVERSE, TX 78109-1578
(720) 771-5551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101791
TX
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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