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Kenneth Dewayne Perry
Professional Counselor in Jackson, Tennessee
NPI 1922770528

Kenneth Dewayne Perry is a Professional Counselor based in Southaven, TN and is specialized in Professional. Kenneth Dewayne Perry practices in Jackson, TN. The NPI Number for Kenneth Dewayne Perry is 1922770528 and holds a License No. 12703 (Tennessee).

The current practice location address for Kenneth Dewayne Perry is 112 N Liberty St, Jackson, TN and can be reached out via phone at 731-736-4400.

Location: 112 N Liberty St, Jackson, TN, 38671-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922770528
Provider Name
Kenneth Dewayne Perry
Credential
Provider Entity Type
Individual
Gender
Male
Address
112 N Liberty St, Jackson, TN, 38671-1921
Phone Number
731-736-4400
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 N Liberty St
City
Jackson
State
Tennessee
Zip
38301-6200
Phone Number
731-736-4400
Fax Number
person
Provider Business Mailing Address Details
Address
112 N Liberty St
City
Jackson
State
Tennessee
Zip
38301-6200
Phone Number
731-736-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12703 (Tennessee)
Definition
Definition to come...
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