Individual
MR. BRIAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. A. LPCC
Contact information
Practice address
15889 NAMES DR, GRASS VALLEY, CA 95949-6805
(303) 761-7991
Mailing address
15889 NAMES DR, GRASS VALLEY, CA 95949-6805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10882
CA
Other
Enumeration date
03/21/2014
Last updated
01/24/2022
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