Individual
MRS. TYSHELL A PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 OAKLAND RD, TAPPAHANNOCK, VA 22560-5759
(240) 434-9538
Mailing address
216 OAKLAND RD, TAPPAHANNOCK, VA 22560-5759
(240) 434-9538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0709025753
VA
101YM0800X
Mental Health Counselor
Primary
0704016775
VA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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