Individual provider · Type 1 NPI

Theron Reginald Parks, CDP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1467923003 Active

Practice location

721 Fawcett Ave
Tacoma, WA 98402-5502

Call (253) 284-7820 Map

Mailing address

945 Fawcett Ave
Tacoma, WA 98402-5612

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60838935 (WA)

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

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About NPI 1467923003

Theron Reginald Parks, CDP's National Provider Identifier is 1467923003, issued on Dec 7, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Dec 7, 2018.