Individual
MICHELLE ALLISON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1423 ASHLEY RIVER RD APT 3D, CHARLESTON, SC 29407-5369
(816) 944-0477
Mailing address
1423 ASHLEY RIVER RD APT 3D, CHARLESTON, SC 29407-5369
(816) 944-0477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2021032885
MO
101YP2500X
Professional Counselor
Primary
10070
SC
Other
Enumeration date
01/03/2022
Last updated
07/02/2025
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