Individual
LAURIE JEAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1161 S LOOP RD, PAHRUMP, NV 89048-4764
(775) 751-6990
Mailing address
1161 S LOOP RD, PAHRUMP, NV 89048-4764
(775) 751-6990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
144-S
NV
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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