Individual
LANNY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
106 GALVIN ROAD, ABBOTSFORD, WI 54405
(715) 223-0480
(715) 223-1611
Mailing address
106 GALVIN RD., ABBOTSFORD, WI 54405
(715) 223-0480
(715) 223-1611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1610-132
WI
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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