Individual provider · Type 1 NPI

Lawrence David Park, RADT R1503770423

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1497455869 Active

Practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Call (559) 229-9040 Map

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 1497455869

Lawrence David Park, RADT R1503770423's National Provider Identifier is 1497455869, issued on Mar 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Apr 24, 2023.