Provider Demographics
NPI:1568677094
Name:PEREZ, JOANN LOUISE (CAS)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:LOUISE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
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Mailing Address - Street 1:1083 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2323
Mailing Address - Country:US
Mailing Address - Phone:831-424-4828
Mailing Address - Fax:831-424-5838
Practice Address - Street 1:1083 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2323
Practice Address - Country:US
Practice Address - Phone:831-424-4828
Practice Address - Fax:831-424-5838
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)