Individual
MR. BRYAN O'NEAL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, MPA
Contact information
Practice address
599 W 9TH ST, SAN PEDRO, CA 90731-3105
(310) 831-0331
Mailing address
500 DODD ST, LONGVIEW, TX 75603-5837
(214) 482-1446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
07/08/2021
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