Provider Demographics
NPI:1669159760
Name:PARKER, KARI C (14047 SUDRC)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:C
Last Name:PARKER
Suffix:
Gender:F
Credentials:14047 SUDRC
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:C
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2217 I ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4000
Mailing Address - Country:US
Mailing Address - Phone:530-460-8364
Mailing Address - Fax:
Practice Address - Street 1:650 HOWE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4732
Practice Address - Country:US
Practice Address - Phone:530-460-8364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)