Individual
BRENDA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CDPT, MHCA
Contact information
Practice address
1305 MANSFIELD ST, RICHLAND, WA 99352-3588
(509) 942-1624
Mailing address
4711 N DALLAS RD APT I204, WEST RICHLAND, WA 99353-9145
(402) 720-6804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60556779
WA
101YM0800X
Mental Health Counselor
MC60548687
WA
Other
Enumeration date
06/05/2013
Last updated
01/08/2019
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