Parks, Jacob

Parks, Jacob is an individual health care provider with primary practice located at 11335 Sunset Hills Rd , Reston VA 20190-5205. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutritionist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Parks, Jacob can be contacted via phone (703) 348-7857.

Contact Information

Primary practice address
11335 Sunset Hills Rd Reston VA 20190-5205
Phone: (703) 348-7857
Fax: (703) 444-4308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X

Profile Details

NPI number 1760751861
LBN Legal business name Parks, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2011
Last updated Dec 19th, 2011 - about 14 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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