| Reva Parker, Rn, Lcpc, P.c. | |
|
2050 Fairway Dr #208 Bozeman MT 59715-5871 | |
| (406) 586-3308 | |
| Not Available |
| Full Name | Reva Parker, Rn, Lcpc, P.c. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2050 Fairway Dr, Bozeman, Montana |
| Authorized Official Name and Position | Reva Parker (OWNER - PRESIDENT) |
| Authorized Official Contact | 4065863308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reva Parker, Rn, Lcpc, P.c. 2050 Fairway Dr #208 Bozeman MT 59715-5871 Ph: () - | Reva Parker, Rn, Lcpc, P.c. 2050 Fairway Dr #208 Bozeman MT 59715-5871 Ph: (406) 586-3308 |
| NPI Number | 1063620243 |
|---|---|
| Provider Enumeration Date | 05/19/2007 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063620243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCPC #365 (Montana) | Primary |
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