Individual
MRS. DAWN LORRAINE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC II, LMHC
Contact information
Practice address
165 E GROVE ST, SUITE B, MIDDLEBORO, MA 02346-2737
(800) 273-6277
(888) 978-4883
Mailing address
165 E GROVE ST, SUITE B, MIDDLEBORO, MA 02346-2737
(800) 273-6277
(888) 978-4883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1317AL
MA
101YM0800X
Mental Health Counselor
Primary
6530
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106723
—
MA
Enumeration date
01/03/2008
Last updated
10/12/2016
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