Individual provider · Type 1 NPI

Mary M. Parks, LCDC

Addiction (Substance Use Disorder) Counselor · Corsicana, TX

NPI number 1093174047 Active

Practice location

109 W Mall Dr
Corsicana, TX 75110-3102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11538 (TX)

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

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About NPI 1093174047

Mary M. Parks, LCDC's National Provider Identifier is 1093174047, issued on Feb 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corsicana, TX. The record was last updated on Feb 18, 2016.