Individual
JAMES ALBERT PARKER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 408-6157
Mailing address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 408-6157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S94070317
—
MA
Enumeration date
01/26/2018
Last updated
06/16/2018
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