SearchIdaho101YM0800X

Steven Parker, LPC, HI, DS

NPI 1336536937 · on the registry since 2015 · sole proprietor

Practice

Address
264 Main Ave S
Twin Falls, ID 83301
Phone
(208) 734-0407
Organisation at this address
Pro Active Advantage, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho