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Individual

CHASE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC-CAS

Contact information

Practice address
2330 BEVELRY BLVD, 2330 BEVERLY BLVD, LOS ANGELES, CA 90057
(213) 744-0724
Mailing address
1516 N HOBART BLVD, APT 303, LOS ANGELES, CA 90027
(213) 663-3795

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C030780215
CA

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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