Provider Demographics
NPI:1275851321
Name:PERRET, GILLIAN (LCSW)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:
Last Name:PERRET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 OAK ST APT E
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2058
Mailing Address - Country:US
Mailing Address - Phone:504-906-7227
Mailing Address - Fax:
Practice Address - Street 1:1333 LOWERLINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5236
Practice Address - Country:US
Practice Address - Phone:504-906-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA32741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical