Individual
JANICE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 STACY RD STE 100, MCKINNEY, TX 75070-2144
(469) 892-8842
Mailing address
4348 PEREGRINE WAY, CARROLLTON, TX 75010-4686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89878
TX
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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