Provider Demographics
NPI:1316620636
Name:PERKINS, BETH RENEE (ACSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:RENEE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 COHASSET RD STE 130
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-5405
Mailing Address - Country:US
Mailing Address - Phone:530-552-5058
Mailing Address - Fax:
Practice Address - Street 1:560 COHASSET RD STE 100
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2490
Practice Address - Country:US
Practice Address - Phone:530-990-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health