Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christian J Park

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487106969

Christian J Park is an Addiction (Substance Use Disorder) Counselor in Canton, New York. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

80 State Hwy 310 Ste 1
Canton, NY 13617
Phone: (315) 386-2189
Fax: (315) 386-2435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1487106969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2016
Last updated in NPPESNovember 2, 2016
Mailing address80 State Hwy 310, Suite 1, Canton, NY 13617

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