Individual
SANDRA ELAINE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.D.C.
Contact information
Practice address
7510 FM 1765, TEXAS CITY, TX 77591
(409) 944-4440
Mailing address
4352 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2628
(409) 944-4440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8600BH
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/23/2007
Last updated
07/08/2007
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