Macen Donald Parke
Macen Donald Parke is a Mental Health Counselor in Coos Bay, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1123 Anderson AveCoos Bay, OR 97420-4638
Phone: (541) 269-1409
Fax: (541) 266-0874
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1982288429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2021 |
| Last updated in NPPES | September 4, 2024 |
| Certification date | September 4, 2024 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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