Individual
MS. KELLY ANNE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
55 MOHAWK ST, COHOES, NY 12047-2600
(518) 235-1100
(518) 235-0079
Mailing address
55 MOHAWK ST, COHOES, NY 12047-2600
(518) 235-1100
(518) 235-0079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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