Issa Park, LMHC

NPI 1619429669 · on the registry since 2016 · sole proprietor

Practice

Address: 1900 Jay Ell Dr
Richardson, TX 75081
Phone: (254) 554-1810
Organisation at this address: Red Ocean Llc
Dietgenics Nutrition Consulting Limited Liability Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Also registered as: Professional Counselor
Licence states on file: TX, WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-19

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 Texas