Individual provider · Type 1 NPI

Madison Parr

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1013620491 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4296

Mailing address

11820 La Costa Ct
Yucaipa, CA 92399-3420

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1497390223 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013620491

Madison Parr's National Provider Identifier is 1013620491, issued on Jan 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Feb 25, 2023.