Individual
SAMUEL LEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6521
Mailing address
130 CARBONTON RD, SANFORD, NC 27330-4009
(919) 774-6521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A14170
NC
101YP2500X
Professional Counselor
Primary
A14170
NC
Other
Enumeration date
02/27/2019
Last updated
03/04/2019
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