MR. THERON REGINALD PARKS CDP NPI 1467923003

NPI Information

NPI: 1467923003
Provider Name: MR. THERON REGINALD PARKS, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
721 FAWCETT AVE
TACOMA, WA
ZIP 98402
Phone: (253) 284-7820
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MR. Theron Reginald Parks, CDP is an addiction (substance use disorder) counselor in Tacoma, WA. MR. Theron Reginald Parks, CDP NPI is 1467923003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

721 FAWCETT AVE
TACOMA, WA
ZIP 98402-502
Phone: (253) 284-7820

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60838935	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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