Individual
MR. STEVEN VAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, HI, DS
Contact information
Practice address
264 MAIN AVE S, TWIN FALLS, ID 83301-6232
(208) 734-0407
Mailing address
264 MAIN AVE S, TWIN FALLS, ID 83301-6232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6421
ID
Other
Enumeration date
04/21/2015
Last updated
11/02/2023
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