# MICHAEL PARKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528571643
- **Gender:** Man
- **Credential:** CDCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 080164 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCDCIII.161999 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LICDC.162327 | OH | Yes |
| 101YM0800X | Mental Health Counselor | QMHS | OH | — |
| 175T00000X | Peer Specialist | 00493 | OH | — |

## Other

- **Enumeration date:** 11/11/2017
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0274656 | — | OH |