Individual
CRYSTAL D PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
Mailing address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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