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MR. THERON REGINALD PARKS CDP
NPI 1467923003
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since December 07, 2018
721 FAWCETT AVE, TACOMA, WA 98402(253) 284-7820 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Theron Reginald Parks Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THERON REGINALD PARKS CDP (NPI 1467923003) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP60838935) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1467923003
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. THERON REGINALD PARKSCredential: CDP
Location Address721 FAWCETT AVETacoma, WA 98402-5502
Mailing Address945 Fawcett AveTacoma, WA 98402-5612
Phone(253) 284-7820
Sole ProprietorNo
Enumeration DateDecember 7, 2018
✔ NPI 1467923003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60838935
721 FAWCETT AVE, Tacoma, WA 98402
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN PYNE
Technician/Technologist
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 244-0665
GEORGINA C MAY
Case Manager/Care Coordinator
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 383-3921
STEPHEN JEFFREY FERRIS
Case Manager/Care Coordinator
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 344-3985
METROPALITAN DEVELOPMENT COUNCIL
Community/Behavioral Health
721 FAWCETT AVE, SUITE 101
TACOMA, WA 98402
Pierce County (253) 284-9041
REGINALD RODRIQUEZ ZANDERS
Counselor (Mental Health)
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 207-4301
LYNDSEY M COREY MHA
Behavior Analyst
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 207-4301
MISTY MICHELLE GILLARDUCCI CARE COORDINATOR/CPC
Case Manager/Care Coordinator
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 290-0464
CORINNE CRUZ
Social Worker
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 207-4301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theron Parks's NPI number?

The NPI number for Theron Parks is 1467923003. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Theron Parks located?

Theron Parks practices at 721 Fawcett Ave, Tacoma, WA 98402. The listed phone number is (253) 284-7820.

What is Theron Parks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theron Parks was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.