Mr. Lawrence David Park, RADTR1503770423
Mr. Lawrence David Park, RADTR1503770423 is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3707 E Shields AveFresno, CA 93726-7029
Phone: (559) 229-9040
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1497455869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RADTR1503770423 |
| Sole proprietor | No |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | April 24, 2023 |
| Certification date | April 24, 2023 |
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