Individual provider · Type 1 NPI

Thomas Park

Mental Health Counselor · Mcminnville, OR

NPI number 1790055358 Active

Practice location

627 NE Evans St
Mcminnville, OR 97128-3923

Call (503) 434-7523 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790055358

Thomas Park's National Provider Identifier is 1790055358, issued on Jan 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Jan 12, 2012.