DAVID WAYNE PARKER

COSTA MESA, CA
NPI1942041371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  LCI04080315)
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
DAVID WAYNE PARKER LAADC
204 E 17TH ST STE 203
COSTA MESA, CA 92627-7300
Phone number: 949-734-9254
Mailing Address
DAVID WAYNE PARKER LAADC
3400 AVENUE OF THE ARTS APT F412
COSTA MESA, CA 92626-1954
Phone number: 949-734-9254
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