Doctor Name: | MS. CHLOE KALA PEREZ |
NPI Number: | 1649372905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C LICSW |
License Number: | 7381 |
Business Practice Address: | 3919 National Drive Suite 400 Burtonsville, MD - 20866 |
Business Phone Number: | 3015898444 |
Business Fax Number: | 3014950923 |
Mailing Address: | 3919 National Drive, Suite 400 BURTONSVILLE |
State: | MD |
Postal Code: | 20866 |
Phone Number: | 3015898444 |
Fax Number: | 3014950923 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |