Parker, Wanda
Parker, Wanda is an sole proprietor health care provider with primary practice located at 14710 Central Ave Apartment C319, Oak Forest IL 60452-1252. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Parker, Wanda can be contacted via phone (773) 575-9631.Contact Information
Primary practice address
14710 Central Ave Apartment C319
Oak Forest IL 60452-1252
Phone: (773) 575-9631
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 21216 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.010540 | Illinois |
Profile Details
NPI number | 1689089377 |
---|---|
LBN Legal business name | Parker, Wanda |
Credentials | MA, CADC, LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 22nd, 2014 |
Last updated | Mar 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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