Organization
PARKES STOVEPIPE INC
Active
Other names
Premier Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARKE CASUDC (PROGRAM DIRECTOR)
(435) 610-1696
Entity
Organization
Contact information
Practice address
230 N 1680 E STE D1, ST GEORGE, UT 84790-2576
(435) 610-1696
Mailing address
230 N 1680 E STE D1, ST GEORGE, UT 84790-2576
(435) 610-1696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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