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Individual

MR. ALBERT PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1035 MARKET ST, SUITE 400, SAN FRANCISCO, CA 94103-1600
(415) 487-3113
(415) 558-9657
Mailing address
1035 MARKET ST, SUITE 400, SAN FRANCISCO, CA 94103-1600
(415) 487-3113
(415) 558-9657

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
25115
CA

Other

Enumeration date
02/09/2007
Last updated
02/22/2011
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