Doctor Name: | MRS. ILKA BARBARA PARENT |
NPI Number: | 1124201975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 16168 |
Business Practice Address: | 344 Sunset Lake Rd Lumber Bridge, NC - 283578975 |
Business Phone Number: | 9105652543 |
Business Fax Number: | |
Mailing Address: | 344 Sunset Lake Rd, LUMBER BRIDGE |
State: | NC |
Postal Code: | 283578975 |
Phone Number: | 9105652543 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 16168 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |