Individual
MRS. LACHANDA CLOTIEL PARKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
6532 PROSPERITY COMMONS DR, CHARLOTTE, NC 28269-2326
(704) 728-2864
(704) 688-6641
Mailing address
6532 PROSPERITY COMMONS DR, CHARLOTTE, NC 28269-2326
(704) 728-2864
(704) 688-6641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3307-A
NC
Other
Enumeration date
01/30/2007
Last updated
05/30/2013
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