Organization
KRISTIN L PERKINS, MSW, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN LEIGH PERKINS LCSW (OWNER)
(707) 496-4626
Entity
Organization
Contact information
Practice address
1100 MAIN ST STE D, FORTUNA, CA 95540-2148
(707) 496-4626
Mailing address
1100 MAIN ST STE D, FORTUNA, CA 95540-2148
(707) 496-4626
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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