Individual
MR. MARK STEPHEN PERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,L.C.P.C.
Contact information
Practice address
52 COVE ST, PORTLAND, ME 04101-2514
(207) 712-5505
Mailing address
52 COVE ST, PORTLAND, ME 04101-2514
(207) 712-5505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH6490
FL
101YP2500X
Professional Counselor
Primary
CC349
ME
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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