Individual
TACY RENE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0220931
NM
101YP2500X
Professional Counselor
Primary
CTB20250926
NM
Other
Enumeration date
10/26/2021
Last updated
12/19/2025
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