Individual
JULIE PERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
105 E JEFFERSON BLVD, STE 310, SOUTH BEND, IN 46601-1922
(574) 383-5859
Mailing address
105 E JEFFERSON BLVD, STE 310, SOUTH BEND, IN 46601-1922
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000275A
IN
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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