Individual
MS. ANNA MARIE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
110 W PRAIRIE ST, MANHATTAN, IL 60442-9172
(815) 274-3330
Mailing address
PO BOX 350, 110 WEST PRAIRIE STREET, MANHATTAN, IL 60442-0350
(815) 274-3330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 180.007048
IL
101YM0800X
Mental Health Counselor
LPC178004374
IL
Other
Enumeration date
10/28/2006
Last updated
04/07/2009
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