Individual
ADRIENNE JAIMIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, LCDC
Contact information
Practice address
156 S MAIN ST STE 120, LUMBERTON, TX 77657-7882
(409) 200-2220
(409) 440-3344
Mailing address
4749 ODOM RD, BEAUMONT, TX 77706-7080
(409) 200-2220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14632
TX
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
TX
Other
Enumeration date
12/01/2015
Last updated
09/29/2022
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