| Doctor Name: | DR. JUAN R PEREZ |
| NPI Number: | 1083779631 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 7738 |
| Business Practice Address: | 620 W Westchester Pkwy Apt 2207 Grand Prairie, TX - 750523268 |
| Business Phone Number: | 4696828046 |
| Business Fax Number: | 9722660072 |
| Mailing Address: | 620 W Westchester Pkwy Apt 2207, GRAND PRAIRIE |
| State: | TX |
| Postal Code: | 750523268 |
| Phone Number: | 4696828046 |
| Fax Number: | 9722660072 |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 7738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |