Individual
SHANNA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 VISTA DEL MONTE PL, RIO COMMUNITIES, NM 87002-9515
(505) 450-8965
Mailing address
1103 VISTA DEL MONTE PL, RIO COMMUNITIES, NM 87002-9515
(505) 450-8965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0206361
NM
Other
Enumeration date
04/08/2015
Last updated
09/13/2024
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