Individual
CAROL PARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1511 30TH ST W, BRADENTON, FL 34205-3945
(941) 526-5560
Mailing address
1511 30TH ST W, BRADENTON, FL 34205-3945
(941) 526-5560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 12956
FL
Other
Enumeration date
01/06/2015
Last updated
06/22/2021
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