Individual provider · Type 1 NPI
Carla Park, LSW, LCDCIII
Addiction (Substance Use Disorder) Counselor · Amherst, OH
NPI number
1508281700
Active
Practice location
823 Woodbridge Ct
Amherst, OH 44001-1478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | S24589 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 021027 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508281700
Carla Park, LSW, LCDCIII's National Provider Identifier is 1508281700, issued on Feb 25, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Amherst, OH. The record was last updated on Feb 25, 2014.