Individual
CARMEN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 WILSON AVE, NOVATO, CA 94947-3825
(415) 892-1643
Mailing address
680 WILSON AVE, NOVATO, CA 94947-3825
(415) 892-1643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
95705
CA
Other
Enumeration date
05/07/2015
Last updated
09/24/2020
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