Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor |
NPI | 1326493404 |
---|---|
Provider Name | Mrs. Patricia Perkins |
First Address | Pittsburg, CA 94565-6049 |
Second Address | Antioch, CA 94509-4019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2016 |
Last Update Date | 26/04/2016 |