Individual
SYDNEY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC, LAC, NCC, CRC
Contact information
Practice address
4500 E SUNRISE DR, TUCSON, AZ 85718-5347
(281) 509-1122
Mailing address
4500 E SUNRISE DR, TUCSON, AZ 85718-5347
(281) 509-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9578295-6009
UT
101YM0800X
Mental Health Counselor
LAC-20229
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20229
STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
01
—
9578295-6009
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
Enumeration date
01/04/2023
Last updated
01/04/2023
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