| Doctor Name: | PERRY LEE CAIN |
| NPI Number: | 1174666879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 1202 |
| Business Practice Address: | 443 W Pike St Clarksburg, WV - 263012711 |
| Business Phone Number: | 3046224786 |
| Business Fax Number: | 3046227210 |
| Mailing Address: | Po Box 1676, CLARKSBURG |
| State: | WV |
| Postal Code: | 263021676 |
| Phone Number: | 3046224786 |
| Fax Number: | 3046227210 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 1202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |