Reva Parker, Rn, Lcpc, P.c.

NPI #1063620243 in Bozeman, Montana

Provider Information

NPI Number: 1063620243
Entity Type: Organization
Organization Name: Reva Parker, Rn, Lcpc, P.c.
Primary Specialty: Marriage & Family Therapist
Enumeration Date: May 19, 2007
Last Updated: Nov 13, 2008

Practice Location

Address: 2050 FAIRWAY DR
Address 2: #208
City: Bozeman
State: Montana
ZIP Code: 59715-5871
Phone: (406) 586-3308

Authorized Official

Name: REVA PARKER
Title: OWNER - PRESIDENT
Phone: (406) 586-3308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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