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Individual

CADARA PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 705-6477
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 705-6477

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C2345A
AL
101YP2500X
Professional Counselor
Primary
3773
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000014
AL
Enumeration date
10/13/2015
Last updated
09/20/2017
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