Individual
JACOB PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-5421
Mailing address
1002 BROADMORE DR, MARSHALLTOWN, IA 50158-3528
(641) 691-6611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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