Individual
RENEE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC II, MATS
Contact information
Practice address
504 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(765) 516-6292
Mailing address
1160 CROSS ST, MARTINSVILLE, IN 46151-2925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
01/14/2019
Last updated
02/02/2023
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