Provider Demographics
NPI:1346577756
Name:PERLMAN, DAVID (BA, NCAC II)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:BA, NCAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 204TH ST SW STE 111
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-9368
Mailing Address - Country:US
Mailing Address - Phone:425-478-0152
Mailing Address - Fax:425-774-0134
Practice Address - Street 1:3924 204TH ST SW STE 111
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-9368
Practice Address - Country:US
Practice Address - Phone:425-478-0152
Practice Address - Fax:425-774-0134
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC 00036269101Y00000X
WACP 00003461101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor