Individual provider · Type 1 NPI

Connie Park, PhD

Professional Counselor · Round Rock, TX

NPI number 1740376284 Active

Practice location

410 W. Liberty Ave.
Round Rock, TX 78664

Call (512) 223-4829 Map

Mailing address

411 Palos Verdes Dr.
Austin, TX 78734

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X272 (TX)

Professional Counselor: Definition to come...

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About NPI 1740376284

Connie Park, PhD's National Provider Identifier is 1740376284, issued on Oct 4, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Round Rock, TX. The record was last updated on Jul 8, 2007.