Individual
JOHN PAUL PERONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 479-4994
(360) 405-4011
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 479-4994
(360) 405-4011
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8623PE
REGENCE
WA
01
—
91102010661
KITSAP PHYSICIANS SVC
WA
01
—
A038
TRICARE
WA
Enumeration date
01/19/2007
Last updated
07/08/2007
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