Individual
CHRISTOPHER PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7986 DAGGET ST, SAN DIEGO, CA 92111
(858) 300-0460
Mailing address
7986 DAGGET ST, SAN DIEGO, CA 92111-2321
(858) 300-0460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
08/07/2018
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