Individual provider · Type 1 NPI
Randy S. Parks, M.A. L.C.P.C.
Mental Health Counselor · Evanston, IL
NPI number
1639410467
Active
Practice location
990 Grove St Ste 510
Evanston, IL 60201-6514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180003761 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1639410467
Randy S. Parks, M.A. L.C.P.C.'s National Provider Identifier is 1639410467, issued on Mar 4, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evanston, IL. The record was last updated on Mar 4, 2013.