Individual
DAMIAN ANTHONY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(203) 510-4154
Mailing address
126 HOTCHKISS ST, WATERBURY, CT 06704-2601
(203) 510-4154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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