Provider Demographics
NPI:1841884830
Name:PERIN, AUBREY KATHRYN (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:KATHRYN
Last Name:PERIN
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S SAINT MARKS AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-4862
Mailing Address - Country:US
Mailing Address - Phone:540-336-5385
Mailing Address - Fax:
Practice Address - Street 1:3505 BRAINERD RD STE 1
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-2709
Practice Address - Country:US
Practice Address - Phone:423-521-5678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5403101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty