Provider Demographics
NPI:1962732479
Name:PERRIN, GUY PRESKENIS (LPC)
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:PRESKENIS
Last Name:PERRIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 E MAIN ST
Mailing Address - Street 2:#9
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1848
Mailing Address - Country:US
Mailing Address - Phone:541-245-0789
Mailing Address - Fax:
Practice Address - Street 1:295 E MAIN ST
Practice Address - Street 2:#9
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1848
Practice Address - Country:US
Practice Address - Phone:541-245-0789
Practice Address - Fax:866-454-9789
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional