Edward Charles Perry, LPC
Counselor, Professional in Texarkana, TX. Individual provider (NPI-1).
NPI number1720175409
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1720175409
- Entity type
- Individual (NPI-1)
- Name
- Edward Charles Perry
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 15266 | TX | Yes |
Practice location
1825 N Robison RdTexarkana, TX 75501-4180
Phone 903-831-7585 · Fax 903-831-4823
Mailing address
Po Box 5637Texarkana, TX 75505-5637
Phone 903-831-7585 · Fax 903-831-4823
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