Individual
MS. PAMELA TERESA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
234 LONG ISLAND AVE, WYANDANCH, NY 11798-3015
(631) 920-8250
Mailing address
234 LONG ISLAND AVE, WYANDANCH, NY 11798-3015
(631) 920-8250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20021
NY
Other
Enumeration date
04/30/2010
Last updated
12/24/2020
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