Doctor Name: | MR. JOHN H. PARKER |
NPI Number: | 1184752412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | P0401005 |
Business Practice Address: | 3103 Alma Hwy Van Buren, AR - 729565027 |
Business Phone Number: | 4794101700 |
Business Fax Number: | 4794101710 |
Mailing Address: | 3103 Alma Hwy, VAN BUREN |
State: | AR |
Postal Code: | 729565027 |
Phone Number: | 4794101700 |
Fax Number: | 4794101710 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P0401005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |