NPI 1003147893

Brad Clinton Parks

Practitioner Addiction (Substance Use Disorder) Counselor Pittsburg, KS

Practice location

Address: 824 E 4th St, Pittsburg, KS 66762-4234
Phone: (620) 704-5277
Mailing address: 1102 South Rouse, Pittsburg, KS 66762

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 82 (KS)

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Registry record

NPI: 1003147893
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2010
Record last updated: 31 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.