Individual provider · Type 1 NPI
Brad Clinton Parks
Addiction (Substance Use Disorder) Counselor · Pittsburg, KS
NPI number
1003147893
Active
Practice location
824 E 4th St
Pittsburg, KS 66762-4234
Mailing address
1102 South Rouse
Pittsburg, KS 66762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 82 (KS) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003147893
Brad Clinton Parks's National Provider Identifier is 1003147893, issued on Jan 19, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pittsburg, KS. The record was last updated on Jul 31, 2013.