Individual
MR. JEFFREY S PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 758-8009
Mailing address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 758-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60065766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60065766
CDP LICENSE
WA
Enumeration date
04/27/2009
Last updated
04/27/2009
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