Individual provider · Type 1 NPI

Kristina Josephine Parks, CDCA

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1013689645 Active

Practice location

1400 E 55th St
Cleveland, OH 44103-1304

Mailing address

12705 Emery Ave
Cleveland, OH 44135-2247

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.176450 (OH)

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

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About NPI 1013689645

Kristina Josephine Parks, CDCA's National Provider Identifier is 1013689645, issued on Oct 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Oct 1, 2021.