| Kristin L Perkins, Msw, Lcsw | |
|
1100 Main St Ste D Fortuna CA 95540-2148 | |
| (707) 496-4626 | |
| Not Available |
| Full Name | Kristin L Perkins, Msw, Lcsw |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1100 Main St Ste D, Fortuna, California |
| Authorized Official Name and Position | Kristin Leigh Perkins (OWNER) |
| Authorized Official Contact | 7074964626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin L Perkins, Msw, Lcsw 1100 Main St Ste D Fortuna CA 95540-2148 Ph: (707) 496-4626 | Kristin L Perkins, Msw, Lcsw 1100 Main St Ste D Fortuna CA 95540-2148 Ph: (707) 496-4626 |
| NPI Number | 1881434769 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881434769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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