| Doctor Name: | JACQUELINE PARKER |
| NPI Number: | 1003852260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, ACSW, QCSW |
| License Number: | 00767 |
| Business Practice Address: | 4701 Dove Hollow Way Arlington, TX - 760161945 |
| Business Phone Number: | 8174614063 |
| Business Fax Number: | 8174610146 |
| Mailing Address: | 4701 Dove Hollow Way, ARLINGTON |
| State: | TX |
| Postal Code: | 760161945 |
| Phone Number: | 8174614063 |
| Fax Number: | 8174610146 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00767 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |