Individual
ANGELIQUE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
168 NORTH ST, BENNINGTON, VT 05201-1874
(802) 342-4636
Mailing address
106 CROSS ST, BENNINGTON, VT 05201-2046
(802) 881-9519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134668
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2019
Last updated
07/27/2022
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