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Individual
MARY COLLETTE PARKS
Active
Individual
MARY COLLETTE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BH002981
PA
101YP2500X
Professional Counselor
Primary
PC012855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH002981
LICENSED BEHAVIORAL SPECIALIST
PA
Enumeration date
06/25/2020
Last updated
03/31/2025
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