Individual
CAROLYN SUE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CDCT
Contact information
Practice address
7808 CROYLE AVE, RAPID CITY, SD 57702-8912
(605) 209-6118
Mailing address
7808 CROYLE AVE, RAPID CITY, SD 57702-8912
(605) 209-6118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1102
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
5805
SD
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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