Individual
CONNIE RAE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 S VAL VISTA DR, MESA, AZ 85204-7370
(480) 442-8061
Mailing address
41 E HILLSIDE ST, MESA, AZ 85201-2734
(480) 232-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-18090
AZ
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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