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Mr. Lawrence David Park, RADTR1503770423
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1497455869

Lawrence David Park is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Lawrence David Park practices in Fresno, CA and has the professional credentials of RADTR1503770423. The NPI Number for Lawrence David Park is 1497455869 and holds a License No. (California).

The current practice location address for Lawrence David Park is 3707 E Shields Ave, Fresno, CA and can be reached out via phone at 559-229-9040.

Location: 3707 E Shields Ave, Fresno, CA, 93726-7029
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Provider Profile Details
NPI Number
1497455869
Provider Name
Lawrence David Park
Credential
RADTR1503770423
Provider Entity Type
Individual
Gender
Male
Address
3707 E Shields Ave, Fresno, CA, 93726-7029
Phone Number
559-229-9040
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1503770423 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
3707 E Shields Ave
City
State
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
person
Provider Business Mailing Address Details
Address
3707 E Shields Ave
City
State
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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