Provider Demographics
NPI:1780020958
Name:PARKER, DENEESE HEATHER (MA, CADC)
Entity Type:Individual
Prefix:MS
First Name:DENEESE
Middle Name:HEATHER
Last Name:PARKER
Suffix:
Gender:F
Credentials:MA, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 W SAHARA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3069
Mailing Address - Country:US
Mailing Address - Phone:702-258-5855
Mailing Address - Fax:702-258-9767
Practice Address - Street 1:6431 W SAHARA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3069
Practice Address - Country:US
Practice Address - Phone:702-258-5855
Practice Address - Fax:702-258-9767
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV19841011323101YA0400X
NV00299-C101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)