Individual
JASON TERRENCE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 GARDNER ST APT 64, GADSDEN, AL 35901-3038
(256) 549-0807
(256) 549-0887
Mailing address
1117 GARDNER ST APT 64, GADSDEN, AL 35901-3038
(256) 549-0807
(256) 549-0887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
464
AL
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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