Doctor Name: | MS. JOSEPHINE LOUISE PARRISH |
NPI Number: | 1225467129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,T.L.L.P,L.L.P.C |
License Number: | 6401013851 |
Business Practice Address: | 9844 Dixie Hwy Ira, MI - 480232813 |
Business Phone Number: | 5867167600 |
Business Fax Number: | 5867167659 |
Mailing Address: | 9844 Dixie Hwy, IRA |
State: | MI |
Postal Code: | 480232813 |
Phone Number: | 5867167600 |
Fax Number: | 5867167659 |
NPI Enumeration Date: | 11/01/2013 |
NPI Last Update Date: | 11/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401013851 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |