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NPI Code Detail

MEDICARE: ADRIANA PARKS

MEDICARE:   ADRIANA  PARKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366815672
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA PARKS
Provider Business Mailing Address
First Line : 6879 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1672
Country : US
Telephone Number : 702-308-4807
Fax Number :
Provider Business Practice Location Address
First Line : 6879 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1672
Country : US
Telephone Number : 702-308-4807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 08/09/2021

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Directions to “ ADRIANA PARKS ” Practice Location

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