Individual
AMY DAWN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
11011 S 48TH ST STE 106, PHOENIX, AZ 85044-1787
(480) 781-2631
Mailing address
11011 S 48TH ST STE 106, PHOENIX, AZ 85044-1787
(602) 456-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23130
AZ
Other
Enumeration date
04/09/2007
Last updated
10/01/2024
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