Individual
AMY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
607 HARKRIDER ST STE 4, CONWAY, AR 72032-5692
(501) 424-5084
Mailing address
12409 LUMMUS LN, QUANTICO, VA 22134-2065
(903) 244-4582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1507076
AR
Other
Enumeration date
11/14/2013
Last updated
04/22/2022
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