Individual provider · Type 1 NPI

Ceisha Shador Parks

Mental Health Counselor · Mcdonough, GA

NPI number 1093145666 Active

Practice location

6040 Winston Trace
Mcdonough, GA 30252

Call (612) 559-8873 Map

Mailing address

6040 Winston Trce
Mcdonough, GA 30252-6896

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093145666

Ceisha Shador Parks's National Provider Identifier is 1093145666, issued on Nov 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcdonough, GA. The record was last updated on Nov 19, 2013.