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1932539202
GLENN PARKER
SACRAMENTO, CA
NPI
1932539202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-22
Last Update Date
2016-03-29
Business Address
Mr. GLENN PARKER LAADC
2143 HURLEY WAY STE 250
SACRAMENTO, CA 95825-3253
Phone number: 916-922-9217
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Mailing Address
Mr. GLENN PARKER LAADC
2143 HURLEY WAY STE 250
SACRAMENTO, CA 95825-3253
Phone number: 916-922-9217
Copy
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