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

Mr. Theron Reginald Parks, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1467923003

Mr. Theron Reginald Parks, CDP is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

721 Fawcett Ave
Tacoma, WA 98402-5502
Phone: (253) 284-7820
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 · Licence CP60838935 (WA)

Record details

NPI number1467923003
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorNo
NPI enumeratedDecember 7, 2018
Last updated in NPPESDecember 7, 2018

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