Individual
DR. CAROLE J. PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. CADC MISA II
Contact information
Practice address
1780 MAPLE ST, NORTHFIELD, IL 60093-3021
(847) 446-7755
Mailing address
542 PINEWOOD DR, GLENCOE, IL 60022-1033
(847) 835-5037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
#1117
IL
103TC0700X
Clinical Psychologist
Primary
071.007724
IL
103TC0700X
Clinical Psychologist
10784
CA
Other
Enumeration date
05/12/2007
Last updated
08/03/2009
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