Mr. Brad Clinton Parks
Addiction Counselor (Substance Use Disorder)
824 E 4th St
Pittsburg
, Kansas 66762-4234
Mr. Brad Clinton Parks
Addiction Counselor (Substance Use Disorder)
824 E 4th St
Pittsburg
, Kansas 66762-4234
(620) 232-2593
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Brad Clinton Parks
- 1102 South Rouse
- Pittsburg, KS
- Zip : 66762
- Phone : (620) 232-2593
Second Address
- Mr. Brad Clinton Parks
- 824 E 4th St
- Pittsburg, KS
- Zip : 66762-4234
- Phone : (620) 704-5277
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 82 | KS |
National Provider Identifier
| NPI | 1003147893 |
|---|---|
| Provider Name | Mr. Brad Clinton Parks |
| First Address | Pittsburg, KS 66762 |
| Second Address | Pittsburg, KS 66762-4234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2010 |
| Last Update Date | 31/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.