Individual
MR. JUAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHR
Contact information
Practice address
1209 S MAIN ST, STILLWATER, OK 74074-5846
(405) 564-3408
Mailing address
914 N BURDICK ST, STILLWATER, OK 74075-7407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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