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TINA PARKER

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417374711

Individual Registrant:
 TINA  PARKER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16 HICKORY DR  HEBRON, CT 06248-1016 US
Tel: 860-281-6271  Fax: --

Contact information for business:
16 HICKORY DR  HEBRON, CT 06248-1016 US
Tel: 860-281-6271  Fax: --

Registration Information:
NPI: 1417374711
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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