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Individual
JUSTIN CARL PARKS
Active
Individual
JUSTIN CARL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
S.2504411-TRNE
OH
104100000X
Social Worker
Primary
S.2614649
OH
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/20/2024
Last updated
09/17/2026
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