Organization · NPI-2

Carol L. Parker Ph.D.Lpcc

Community/Behavioral Health · Santa Fe, NM

NPI number1386037364
StatusActive
Last updated in NPPESMar 14, 2015

Details

NPI
1386037364
Entity type
Organization (NPI-2)
Legal business name
Carol L. Parker Ph.D.Lpcc
Organization subpart
No
Enumeration date
Mar 14, 2015
Last updated
Mar 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health4775NMYes

Practice location

1600 Lena St Ste C
#30
Santa Fe, NM 87505-3891

Phone 505-235-1284 · Fax 505-982-9401

Mailing address

Po Box 544
Glorieta, NM 87535-0544

Phone 505-235-1284 · Fax 505-982-9401

Authorized official

Carol L. Parker
Sole Proprietor
5052351284

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