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

Michelle C Park

Individual provider Counselor · NPI 1972736148

Michelle C Park is a Counselor in LA Mesa, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

5360 Jackson Dr
LA Mesa, CA 91942-6002
Phone: (619) 353-0818
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1972736148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2009
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address5360 Jackson Dr, La Mesa, CA 91942-6002

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