Most Relevant Information
Provider Data
| NPI Number: | 1003357690 |
| Provider Name: | CHASE PARKER CADC-CAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | C030780215 |
Most Important Dates
| Enumeration Date: | 03/15/2017 |
| Last Updated: | 03/15/2017 |
Provider Practice Location
2330 BEVELRY BLVD
2330 BEVERLY BLVD
LOS ANGELES
CA
90057
Practice Location Phone/Fax
| Phone: | 2137440724 |
| Fax: |
Provider Mailing Location
1516 N HOBART BLVD
APT 303
LOS ANGELES
CA
90027
Provider Mailing Phone/Fax
| Phone: | 2136633795 |
| Fax: |