Individual
JOSHUA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3014 CHAMPION DR, BARBOURSVILLE, WV 25504-9343
(740) 479-0067
(304) 900-3629
Mailing address
2984 COUNTY ROAD 1, SOUTH POINT, OH 45680-8832
(740) 479-0067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2382-2905
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2382-2905
BUSINESS LICENSE NUMBER
WV
Enumeration date
03/25/2020
Last updated
03/25/2020
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