Individual
JOE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 S MYRTLE AVE, CHINA GROVE, NC 28023-2025
(704) 201-4048
Mailing address
309 S MYRTLE AVE, CHINA GROVE, NC 28023-2025
(704) 201-4048
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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