Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | MI | |
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CSAC20375 | NC |
N | 101YM0800X | Mental Health Counselor | CSAC20375 | NC |
N | 101YP1600X | Pastoral Counselor |
NPI | 1306022926 |
---|---|
Provider Name | Mr. Andreas J Parsley SR. |
First Address | Indian Trail, NC 28079-5583 |
Second Address | Vassar, MI 48768-9584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 11/01/2017 |