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Individual

DONALD CLAYTON PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT

Contact information

Practice address
5352 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 592-2793
(804) 592-2794
Mailing address
5352 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 592-2793
(804) 592-2794

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001663
VA
106H00000X
Marriage & Family Therapist
Primary
0717000616
VA

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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