Most Relevant Information
Provider Data
| NPI Number: | 1003255506 |
| Provider Name: | COLLEEN PERRY MFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC38937 |
Most Important Dates
| Enumeration Date: | 06/18/2013 |
| Last Updated: | 02/16/2024 |
Provider Practice Location
4140 GLENCOE AVE APT 613
MARINA DEL REY
CA
902926689
Practice Location Phone/Fax
| Phone: | 3102598970 |
| Fax: |
Provider Mailing Location
4140 GLENCOE AVE APT 613
MARINA DEL REY
CA
902926689
Provider Mailing Phone/Fax
| Phone: | 3102598970 |
| Fax: |