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Provider Information for 1972256527


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DANIEL PEREZ LMFT


Sex: Male

NPI: 1972256527
Last Updated: 2022-02-02
Certification Date: 2022-02-02

Details

NameValue
NPI1972256527
Enumeration Date2022-02-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 19041
ANAHEIM, CA 92817-9041
United States

Phone: | Fax:
 
Primary Practice Address 162 N GLASSELL ST STE C
ORANGE, CA 92866-1481
United States

Phone: 714-883-9156 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist