Doctor Name: | DR. JEFFREY PARSONS |
NPI Number: | 1043697410 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, LPCC, NCC |
License Number: | 1183 |
Business Practice Address: | 292 Glades Rd Suite 8 Berea, KY - 404031368 |
Business Phone Number: | 8594287862 |
Business Fax Number: | 8599720616 |
Mailing Address: | 292 Glades Rd, BEREA |
State: | KY |
Postal Code: | 404031368 |
Phone Number: | 8594287862 |
Fax Number: | 8599720616 |
NPI Enumeration Date: | 05/05/2015 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |