Parks, Jeanine

Parks, Jeanine is an sole proprietor health care provider with primary practice located at 643 E Sample Ave , Fresno CA 93710-5428. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Parks, Jeanine can be contacted via phone (559) 252-2204.

Contact Information

Primary practice address
643 E Sample Ave Fresno CA 93710-5428
Phone: (559) 252-2204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1104011931
LBN Legal business name Parks, Jeanine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2007
Last updated Jan 26th, 2024 - about 10 months 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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