person
Mr. Tracy Ryan Parks, LPC
Professional Counselor in Kirksville, Missouri
NPI 1245444058

Tracy Ryan Parks is a Professional Counselor based in La Plata, MO and is specialized in Professional. Tracy Ryan Parks practices in Kirksville, MO and has the professional credentials of LPC. The NPI Number for Tracy Ryan Parks is 1245444058 and holds a License No. 2003013757 (Missouri).

The current practice location address for Tracy Ryan Parks is 1611 S Baltimore St, Kirksville, MO and can be reached out via phone at 660-665-7575.

Location: 1611 S Baltimore St, Kirksville, MO, 63549-5156
person
Provider Profile Details
NPI Number
1245444058
Provider Name
Tracy Ryan Parks
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1611 S Baltimore St, Kirksville, MO, 63549-5156
Phone Number
660-665-7575
Fax Number
Provider Enumeration Date
05/10/2007
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1611 S Baltimore St
City
State
Zip
63501-4536
Phone Number
660-665-7575
Fax Number
person
Provider Business Mailing Address Details
Address
1611 S Baltimore St
City
State
Zip
63501-4536
Phone Number
660-665-7575
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2003013757 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2003013757 (Missouri)
Definition
Definition to come...
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