Individual provider · Type 1 NPI

Tivona Larae Perry

Professional Counselor · Florissant, MO

NPI number 1407259351 Active

Practice location

11650 New Halls Ferry Rd
Florissant, MO 63033-6924

Mailing address

1608 W Main St
Belleville, IL 62220-1513

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1407259351

Tivona Larae Perry's National Provider Identifier is 1407259351, issued on Oct 7, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Florissant, MO. The record was last updated on Oct 7, 2014.