RANDALL M. PARKER

BLACKFOOT, ID
NPI1609221308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCSW-44631)
Enumeration Date2016-05-01
Last Update Date2025-01-10
Business Address
Mr. RANDALL M. PARKER LCSW, CADC
495 EMERALD AVE
BLACKFOOT, ID 83221-3968
Phone number: 208-932-4493
Mailing Address
Mr. RANDALL M. PARKER LCSW, CADC
685 1ST ST
IDAHO FALLS, ID 83401-4003
Phone number: 208-681-2208