Perkins, Agnes Monique

Perkins, Agnes Monique is an sole proprietor health care provider with primary practice located at 202 Columbia St , Fairmont WV 26554-4047. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Perkins, Agnes Monique can be contacted via phone (394) 363-2500.

Contact Information

Primary practice address
202 Columbia St Fairmont WV 26554-4047
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1374 West Virginia

Profile Details

NPI number 1861549628
LBN Legal business name Perkins, Agnes Monique
Credentials NCC, LPC, CCAC, ALPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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