Provider Demographics
NPI:1023203577
Name:PERRY, DONNA MARIE (LPC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:PERRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WILLARD STREET
Mailing Address - Street 2:THE DURHAM CENTER
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701
Mailing Address - Country:US
Mailing Address - Phone:919-560-7303
Mailing Address - Fax:919-560-7549
Practice Address - Street 1:501 WILLARD STREET
Practice Address - Street 2:THE DURHAM CENTER
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701
Practice Address - Country:US
Practice Address - Phone:919-560-7303
Practice Address - Fax:919-560-7549
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4872101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor