Individual
MR. VAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
5172 ORANGE AVE, CYPRESS, CA 90630-2921
(714) 220-3052
Mailing address
5172 ORANGE AVE, CYPRESS, CA 90630-2921
(714) 220-3052
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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