Individual
GAVIN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 ARAPAHOE AVE # 100, BOULDER, CO 80303-1196
(720) 310-0570
Mailing address
747 WILDWOOD CT, BIRMINGHAM, AL 35209-2822
(504) 380-2942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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