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Individual

ADAM FRED PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5080 TRANQUIL VIEW ST, LAS VEGAS, NV 89130-1889
(253) 389-3674
Mailing address
5080 TRANQUIL VIEW ST, LAS VEGAS, NV 89130-1889
(253) 389-3674

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
CG60555513
WA
1041C0700X
Clinical Social Worker
Primary
104598
TX
1041C0700X
Clinical Social Worker
11722-C
NV
1041C0700X
Clinical Social Worker
Primary
LW61081020
WA

Other

Enumeration date
06/10/2015
Last updated
04/27/2026
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