Individual
CALEB STEVEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 355-1697
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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