# REVA PARKER, RN, LCPC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063620243
- **Authorized official:** REVA PARKER (OWNER - PRESIDENT)
- **Authorized official phone:** (406) 586-3308

## Contact information

- **Practice address:** 2050 FAIRWAY DR, \#208, BOZEMAN, MT 59715-5871
- **Practice address phone:** (406) 586-3308
- **Mailing address:** 2050 FAIRWAY DR, \#208, BOZEMAN, MT 59715-5871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LCPC \#365 | MT | Yes |

## Other

- **Enumeration date:** 05/19/2007
- **Last updated:** 11/13/2008