Individual
TYSHAUNA ROSE-PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2217 E FRANKLIN ST, RICHMOND, VA 23223-7046
(804) 213-0249
Mailing address
216 PURDY RD, EMPORIA, VA 23847-2752
(434) 637-0549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103264
VA
101YP2500X
Professional Counselor
0701012653
VA
Other
Enumeration date
08/27/2019
Last updated
12/04/2023
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