Individual provider · Type 1 NPI

Christian J. Park

Addiction (Substance Use Disorder) Counselor · Canton, NY

NPI number 1487106969 Active

Practice location

80 State Hwy 310, Suite 1
Canton, NY 13617

Call (315) 386-2189 Map

Fax (315) 386-2435

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487106969

Christian J. Park's National Provider Identifier is 1487106969, issued on Oct 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, NY. The record was last updated on Nov 2, 2016.