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Organization
REVA PARKER, RN, LCPC, P.C.
Active
Organization
REVA PARKER, RN, LCPC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVA PARKER (OWNER - PRESIDENT)
(406) 586-3308
Entity
Organization
Contact information
Practice address
2050 FAIRWAY DR, #208, BOZEMAN, MT 59715-5871
(406) 586-3308
Mailing address
2050 FAIRWAY DR, #208, BOZEMAN, MT 59715-5871
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCPC #365
MT
Other
Enumeration date
05/19/2007
Last updated
11/13/2008
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