Individual
MR. ANDREW JOHN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAMHC
Contact information
Practice address
3019 COUNTY COMPLEX DR., CANANDAIGUA, NY 14424
(585) 396-4190
(585) 393-2916
Mailing address
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424-9505
(585) 396-4190
(585) 383-2916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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