Individual
MR. MARK GREGORY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1500 1ST AVE NE, SUITE 111-D, ROCHESTER, MN 55906-4170
(507) 529-1758
Mailing address
1500 1ST AVE NE, SUITE 111-D, ROCHESTER, MN 55906-4170
(507) 529-1758
(507) 289-1536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300101
MN
Other
Enumeration date
10/10/2007
Last updated
01/03/2017
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