| Christian J Park, | |
|
80 State Hwy 310, Suite 1, Canton, NY 13617 | |
| (315) 386-2189 | |
| (315) 386-2435 |
| Full Name | Christian J Park |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 80 State Hwy 310, Canton, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487106969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Christian J Park, 80 State Hwy 310, Suite 1, Canton, NY 13617 Ph: (315) 386-2189 | Christian J Park, 80 State Hwy 310, Suite 1, Canton, NY 13617 Ph: (315) 386-2189 |
Ms. Jacqueline Schwartz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5862 Sh 11, Canton, NY 13617 Phone: 315-379-0805 | |
Ms. Mavis A Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Meghan Vollmer, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 St Hwy 310 Ste 1, Canton, NY 13617 Phone: 315-386-2167 | |
Morolake Odetoyinbo, Counselor Medicare: Medicare Enrolled Practice Location: 23 Church St, Canton, NY 13617 Phone: 240-507-2585 | |
Ms. Ruthann M Matthews, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Ms. Nereida Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2167 Fax: 315-386-2435 | |
Mr. Bryan J Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 |