Individual
MR. DERRICK PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
714 E MAIN ST, TROTWOOD, OH 45426-2909
(844) 548-7627
Mailing address
1736 SUPERIOR AVE E, CLEVELAND, OH 44114-2944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/09/2018
Last updated
02/28/2020
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