Dr. Anastasia Park
Counselor, Mental Health in Palo Alto, CA. Individual provider (NPI-1).
NPI number1124248232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124248232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anastasia Park
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
375 Cambridge AvePalo Alto, CA 94306-1613
Phone 650-326-6576
Mailing address
375 Cambridge AvePalo Alto, CA 94306-1613
Phone 650-326-6576
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