Individual
JOHN THACKER PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 472-9572
Mailing address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 472-9572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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