Tracy Ryan Parks LPC

NPI 1245444058 - Counselor - 101YM0800X

NPI Details
NPI 1245444058
Gender Male
Enumeration Date 05/10/2007
Last Updated 06/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1611 S BALTIMORE ST
KIRKSVILLE MO, 63501-4536, US
Phone (660) 665-7575
Fax
Business Location
32728 STATE HWY E
LA PLATA MO, 63549-5156, US
Phone (660) 341-0552
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Missouri
License Number 2003013757
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According to our database, Mr. Tracy Ryan Parks LPC NPI is 1245444058, taxonomy code is 101YM0800X and license number is 2003013757, license state is located at Missouri. Tracy Ryan Parks LPC physically located at 1611 S Baltimore St, Kirksville MO, 63501-4536. NPI Number Tracy Ryan Parks LPC has the Individual type.

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1245444058 NPI number is provided on an as is basis without warranty of any kind. 1245444058 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Ryan Parks LPC are for informational purposes only.