Individual
PERFECTO TAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 662-7290
Mailing address
2400 GORDON SMITH DR, MOBILE, AL 36617-2319
(251) 473-4423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1754
AL
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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