person
Mr. Theron Reginald Parks, CDP
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1467923003

Theron Reginald Parks is an Addiction (Substance Use Disorder) Counselor based in Tacoma, WA and is specialized in Addiction (Substance Use Disorder). Theron Reginald Parks practices in Tacoma, WA and has the professional credentials of CDP. The NPI Number for Theron Reginald Parks is 1467923003 and holds a License No. CP60838935 (Washington).

The current practice location address for Theron Reginald Parks is 721 Fawcett Ave, Tacoma, WA and can be reached out via phone at 253-284-7820.

Location: 721 Fawcett Ave, Tacoma, WA, 98402-5612
person
Provider Profile Details
NPI Number
1467923003
Provider Name
Theron Reginald Parks
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
721 Fawcett Ave, Tacoma, WA, 98402-5612
Phone Number
253-284-7820
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
721 Fawcett Ave
City
State
Zip
98402-5502
Phone Number
253-284-7820
Fax Number
person
Provider Business Mailing Address Details
Address
721 Fawcett Ave
City
State
Zip
98402-5502
Phone Number
253-284-7820
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60838935 (Washington)
Definition
Definition to come...
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