| Doctor Name: | JACQUELINE LEE PARKES |
| NPI Number: | 1174730675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, JD |
| License Number: | LH60064471 |
| Business Practice Address: | 7406 27th St W Suite 208 University Place, WA - 984664632 |
| Business Phone Number: | 2534607248 |
| Business Fax Number: | 2535654409 |
| Mailing Address: | 7406 27th St W, Suite 208 UNIVERSITY PLACE |
| State: | WA |
| Postal Code: | 984664632 |
| Phone Number: | 2534607248 |
| Fax Number: | 2535654409 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60064471 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |