Doctor Name: | DOUGLAS GENE PERKINS |
NPI Number: | 1588097026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 0701005439 |
Business Practice Address: | 113 Cumberland Road Cedar Bluff, VA - 246090810 |
Business Phone Number: | 2769646702 |
Business Fax Number: | 2769640292 |
Mailing Address: | Po Box 810, 113 Cumberland Road CEDAR BLUFF |
State: | VA |
Postal Code: | 246090810 |
Phone Number: | 2769646702 |
Fax Number: | 2769640292 |
NPI Enumeration Date: | 08/20/2013 |
NPI Last Update Date: | 08/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701005439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |