Individual provider · Type 1 NPI
Christopher Park
Addiction (Substance Use Disorder) Counselor · Newport Beach, CA
NPI number
1336907187
Active
Practice location
4019 Westerly Pl Ste 102
Newport Beach, CA 92660-2333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1424690421 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336907187
Christopher Park's National Provider Identifier is 1336907187, issued on Mar 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 7, 2024.