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Individual

ANICA A PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2323 TIMBER SHADOWS DR STE B, KINGWOOD, TX 77339-2028
(832) 233-3086
(832) 201-8229
Mailing address
PO BOX 5857, KINGWOOD, TX 77325-5857
(832) 233-3086
(832) 201-8229

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
74642
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74642
LPC
TX
Enumeration date
05/11/2019
Last updated
01/31/2020
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