Individual provider · Type 1 NPI
Statisha L. Perry
Addiction (Substance Use Disorder) Counselor · Stone Mountain, GA
NPI number
1275003337
Active
Practice location
2300 W Park Place Blvd Ste 135, Suite 135
Stone Mountain, GA 30087-3561
Mailing address
4380 Bradley Dr
Snellville, GA 30039-6542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Stone Mountain
- Ellie D. MoodyAddiction (Substance Use Disorder) Counselor Stone Mountain, GA NPI 1053881755
- Desiree Nicole Cochran-Norfolk, CCS, CMAC, CAC IIAddiction (Substance Use Disorder) Counselor Stone Mountain, GA NPI 1427815521
- Joi Constance Rumph, MSAddiction (Substance Use Disorder) Counselor Stone Mountain, GA NPI 1487204053
About NPI 1275003337
Statisha L. Perry's National Provider Identifier is 1275003337, issued on Dec 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stone Mountain, GA. The record was last updated on Dec 3, 2018.