Individual provider · Type 1 NPI

Renee Park

Addiction (Substance Use Disorder) Counselor · Athens, OH

NPI number 1760976286 Active

Practice location

11 Graham Dr
Athens, OH 45701-1430

Mailing address

PO Box 1595
Columbus, OH 43216-1595

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1760976286

Renee Park's National Provider Identifier is 1760976286, issued on Jun 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Athens, OH. The record was last updated on Feb 12, 2019.