Individual
CHERYL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW LAC
Contact information
Practice address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(316) 775-5491
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(549) 131-6775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01715
KS
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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