Provider Demographics
NPI:1326132861
Name:PARKS, DANIEL E (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:E
Last Name:PARKS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2822
Mailing Address - Country:US
Mailing Address - Phone:978-388-5311
Mailing Address - Fax:
Practice Address - Street 1:100 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2822
Practice Address - Country:US
Practice Address - Phone:978-388-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health