Individual
CONSUELO PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
19311 MOHAWK AVE, CLEVELAND, OH 44119-2201
(216) 240-4116
Mailing address
19311 MOHAWK AVE, CLEVELAND, OH 44119-2201
(216) 240-4116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162067
OH
101YM0800X
Mental Health Counselor
C.1300627
OH
101YM0800X
Mental Health Counselor
Primary
E.2102196
OH
101YP2500X
Professional Counselor
C.1300627
OH
Other
Enumeration date
02/22/2016
Last updated
04/05/2021
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