Individual
HERBERT J. PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 HENSLEY DR, TAHLEQUAH, OK 74464-5221
(918) 207-3000
(918) 207-3076
Mailing address
PO BOX 558, TAHLEQUAH, OK 74465-0558
(918) 207-3000
(918) 207-3076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
552
OK
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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