Kathleen Gaye Parks LPCC

NPI 1790096147 - Counselor - 101YM0800X

NPI Details
NPI 1790096147
Gender Female
Enumeration Date 06/30/2010
Last Updated 06/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
8300 CONSTITUTION AVENUE NE
ALBUQUERQUE NM, 87110, US
Phone (505) 291-2967
Fax (505) 291-2504
Business Location
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM, 87125-6666, US
Phone (505) 923-5361
Fax (505) 923-5354
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Kathleen Gaye Parks LPCC NPI is 1790096147, taxonomy code is 101YM0800X Kathleen Gaye Parks LPCC physically located at 8300 Constitution Avenue Ne, Albuquerque NM, 87110. NPI Number Kathleen Gaye Parks LPCC has the Individual type.

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1790096147 NPI number is provided on an as is basis without warranty of any kind. 1790096147 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Gaye Parks LPCC are for informational purposes only.