Individual
MRS. DONNA ELAINE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., LCDC, CAMF
Contact information
Practice address
700 S PALESTINE ST, ATHENS, TX 75751-3325
(903) 675-9570
Mailing address
700 S PALESTINE ST, P.O. BOX 2536, ATHENS, TX 75751-3325
(903) 675-9570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4648
TX
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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