Collonge, Perry

Collonge, Perry is an sole proprietor health care provider with primary practice located at 408 N Laurel St , Ashland OR 97520-1113. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Collonge, Perry can be contacted via phone (408) 656-1219.

Contact Information

Primary practice address
408 N Laurel St Ashland OR 97520-1113
Phone: (408) 656-1219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T1285 Oregon

Profile Details

NPI number 1245873918
LBN Legal business name Collonge, Perry
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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