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Justin Park
NPI 1356867477 · on the registry since 2017 · sole proprietor
Practice
- Address
- 37283 Swamp Rd Ste 803
Prairieville, LA 70769 - Phone
- (225) 254-9589
- Fax
- (222) 208-7267
- Organisation at this address
- Revolution Wellness
Sola Prosthetics, Inc
Relief Health Group, Llc
Gulf Coast Behavioral Health, Llc
American Soldier Evaluation ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Sex
- Male
- Record last updated
- 2025-10-23
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 Louisiana