Individual
CALI D. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5809 DEPARTURE DR STE 106, RALEIGH, NC 27616-1936
(919) 872-6220
Mailing address
PO BOX 1101, NORLINA, NC 27563-1101
(252) 425-5341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81955
NC
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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