Perico, Ignacio

Perico, Ignacio is an sole proprietor health care provider with primary practice located at 596 Anderson Ave Ste 305 , Cliffside Park NJ 07010-1888. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Perico, Ignacio can be contacted via phone (201) 654-4086.

Contact Information

Primary practice address
596 Anderson Ave Ste 305 Cliffside Park NJ 07010-1888
Phone: (201) 654-4086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00373100 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37AC00661000 New Jersey

Profile Details

NPI number 1386300929
LBN Legal business name Perico, Ignacio
Credentials MA, LAC, LCADC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2021
Last updated Jun 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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