Individual
GREGORY WILLIAM PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
3439 REZANOFF DRIVE, KODIAK, AK 99615
(907) 286-2258
Mailing address
PO BOX 4, OLD HARBOR, AK 99643-0004
(907) 286-2258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3652
AK
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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