Organization · Type 2 NPI

Diane Park MD LLC

Mental Health Counselor · Mesa, AZ

NPI number 1972847903 Active

Practice location

1845 S Dobson Rd, Suite 109
Mesa, AZ 85202-5661

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X32107 (AZ)

Mental Health Counselor: Definition to come...

25 other providers at this address

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About NPI 1972847903

Diane Park MD LLC's National Provider Identifier is 1972847903, issued on Nov 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Nov 15, 2012.