Doctor Name: | MS. JACQUELINE SUZANNE PARSONS |
NPI Number: | 1447422514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 33978 |
Business Practice Address: | 801 Kennedale Sublett Rd Kennedale, TX - 760602829 |
Business Phone Number: | 8174830020 |
Business Fax Number: | |
Mailing Address: | Po Box 1036, KENNEDALE |
State: | TX |
Postal Code: | 760601036 |
Phone Number: | 8174830020 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2008 |
NPI Last Update Date: | 03/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 33978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |