person
Jack Perryman
Professional Counselor in Blakely, Georgia
NPI 1992992184

Jack Perryman is a Professional Counselor based in Albany, GA and is specialized in Professional. Jack Perryman practices in Blakely, GA. The NPI Number for Jack Perryman is 1992992184 and holds a License No. LPC002515 (Georgia).

The current practice location address for Jack Perryman is 2063 S Main St, Blakely, GA and can be reached out via phone at 229-430-4002.

Location: 2063 S Main St, Blakely, GA, 31707-4397
person
Provider Profile Details
NPI Number
1992992184
Provider Name
Jack Perryman
Credential
Provider Entity Type
Individual
Gender
Male
Address
2063 S Main St, Blakely, GA, 31707-4397
Phone Number
229-430-4002
Fax Number
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2063 S Main St
City
State
Zip
39823-2267
Phone Number
229-430-4002
Fax Number
person
Provider Business Mailing Address Details
Address
2063 S Main St
City
State
Zip
39823-2267
Phone Number
229-430-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC002515 ()
Definition
Definition to come...
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