Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003092917 |
---|---|
Provider Name | Ms. Patricia Parriott |
First Address | Indio, CA 92201-4610 |
Second Address | Palm Springs, CA 92262-3700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 10/01/2008 |