Individual
JOSEPH EZRA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
(718) 966-7160
Mailing address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
(718) 966-7160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-42214
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-T-40451
NY
Other
Enumeration date
04/14/2026
Last updated
04/23/2026
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