MR. RANDALL M. PARKER LMSW CADC NPI 1609221308

NPI Information

MR. Randall M. Parker, LMSW, CADC is a counselor in Blackfoot, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Randall M. Parker, LMSW, CADC NPI is 1609221308. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

495 EMERALD AVE
BLACKFOOT, ID
ZIP 83221-968
Phone: (208) 932-4493

The enumeration date for this NPI number is 5/1/2016 and was last updated on 3/2/2023.

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:

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