Individual
CARMEN ANN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
840 E MAIN ST, PERHAM, MN 56573-1934
(218) 346-6100
(218) 346-6112
Mailing address
840 E MAIN ST, PERHAM, MN 56573-1934
(218) 346-6100
(218) 346-6112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303403
MN
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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