Individual
MRS. CHARIS D. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1400 SW SUSANA ST STE 12, BENTONVILLE, AR 72713-7877
(479) 203-7100
Mailing address
1400 SW SUSANA ST STE 12, BENTONVILLE, AR 72713-7877
(479) 203-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2110004
AR
Other
Enumeration date
05/18/2015
Last updated
10/07/2021
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