Individual
MR. TODD W PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCJP
Contact information
Practice address
5060 SIX FORKS RD, RALEIGH, NC 27609-4428
(919) 794-3382
(919) 794-3409
Mailing address
5060 SIX FORKS RD, RALEIGH, NC 27609-4428
(919) 794-3382
(919) 794-3409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
213
NC
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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