Individual
CHELEASE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E IOWA ST, 2A, ELDRIDGE, IA 52748-1943
(563) 570-0630
Mailing address
800 E IOWA ST, 2A, ELDRIDGE, IA 52748-1943
(563) 570-0630
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
IL
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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