Individual
CODY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
1444 BALDWIN BLVD, CORPUS CHRISTI, TX 78404-3904
(361) 888-6041
Mailing address
1444 BALDWIN BLVD, CORPUS CHRISTI, TX 78404-3904
(817) 919-3489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68402
TX
101YP2500X
Professional Counselor
68402
TX
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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