Individual provider · Type 1 NPI

Tina Marie Parks

Addiction (Substance Use Disorder) Counselor · Pahrump, NV

NPI number 1144598426 Active

Practice location

1161 S Loop Rd Bldg B
Pahrump, NV 89048-4765

Fax (775) 751-6992

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01115I (NV)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1144598426

Tina Marie Parks's National Provider Identifier is 1144598426, issued on Dec 1, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pahrump, NV. The record was last updated on Jun 24, 2013.