| Doctor Name: | MR. MARC W. PERRY |
| NPI Number: | 1538432174 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, CAADC, ICAADC |
| License Number: | C00013 |
| Business Practice Address: | 120 W. Exchange Street, Suite 300 Catholic Charities Owosso, MI - 48867 |
| Business Phone Number: | 9897238239 |
| Business Fax Number: | 9897238230 |
| Mailing Address: | P.o. Box 148, LAINGSBURG |
| State: | MI |
| Postal Code: | 48848 |
| Phone Number: | 5176481644 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | C00013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |