person
Mr. Kenneth Dwayne Perry
Addiction (Substance Use Disorder) Counselor in Warren, Michigan
NPI 1518081280

Kenneth Dwayne Perry is an Addiction (Substance Use Disorder) Counselor based in New Haven, MI and is specialized in Addiction (Substance Use Disorder). Kenneth Dwayne Perry practices in Warren, MI. The NPI Number for Kenneth Dwayne Perry is 1518081280 and holds a License No. (Michigan).

The current practice location address for Kenneth Dwayne Perry is 23700 Van Dyke Ave, Warren, MI and can be reached out via phone at 586-758-6670 and via fax at 586-758-0243. You can also correspond with Kenneth Dwayne Perry through the mailing address at 58868 VIRGINIA CIR, NEW HAVEN, MI - 48048-2797 (mailing address contact number: 586-749-5266).

Location: 23700 Van Dyke Ave, Warren, MI, 48048-2797
person
Provider Profile Details
NPI Number
1518081280
Provider Name
Kenneth Dwayne Perry
Credential
Provider Entity Type
Individual
Gender
Male
Address
23700 Van Dyke Ave, Warren, MI, 48048-2797
Phone Number
586-758-6670
Fax Number
586-758-0243
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M-10162 M 05 MI
M-10161 M 05 MI
institution
Provider Business Practice Location Address Details
Address
23700 Van Dyke Ave
City
State
Zip
48089-1600
Phone Number
586-758-6670
Fax Number
586-758-0243
person
Provider Business Mailing Address Details
Address
23700 Van Dyke Ave
City
State
Zip
48089-1600
Phone Number
586-758-6670
Fax Number
586-758-0243
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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