Individual
MISS KATHRYN YOLANDA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 CARNEGIE AVE # UP, CLEVELAND, OH 44115-2337
(216) 260-1366
(216) 674-6300
Mailing address
30950 SUMMIT LN, PEPPER PIKE, OH 44124-5843
(216) 536-3004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2305684
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
06/04/2019
Last updated
01/12/2024
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