Most Relevant Information
Provider Data
NPI Number: | 1003332081 |
Provider Name: | MEGAN ELLIOTT PARKER |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/21/2017 |
Last Updated: | 03/17/2018 |
Provider Practice Location
776 S STATE ST
UKIAH
CA
954825847
Practice Location Phone/Fax
Phone: | 7074634915 |
Fax: |
Provider Mailing Location
136 DOOLAN DRIVE
UKIAH
CA
95482
Provider Mailing Phone/Fax
Phone: | |
Fax: |