Individual
RICARDO PARKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
690 E WARNER RD STE 115, GILBERT, AZ 85296-3056
(480) 444-2434
Mailing address
706 N STEWART, MESA, AZ 85201-4641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-20102
AZ
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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