Individual provider · Type 1 NPI
Javier Eduardo Perez, LMSW
Mental Health Counselor · Keene, NY
NPI number
1104036508
Active
Practice location
Route 73
Keene, NY 12942
Mailing address
PO Box 892
Au Sable Forks, NY 12912-0892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 066951-1 (NY) |
Mental Health Counselor: Definition to come...
About NPI 1104036508
Javier Eduardo Perez, LMSW's National Provider Identifier is 1104036508, issued on May 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Keene, NY. The record was last updated on Jul 8, 2007.