Parks, Jennifer A
Parks, Jennifer A is an individual health care provider with primary practice located at 2090 Executive Hall Rd Ste 170 , Charleston SC 29407-8710. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Parks, Jennifer A can be contacted via phone (843) 852-3633.Contact Information
Primary practice address
2090 Executive Hall Rd Ste 170
Charleston SC 29407-8710
Phone: (843) 852-3633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC2721 | South Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPCS3413 | South Carolina |
Profile Details
| NPI number | 1588728547 |
|---|---|
| LBN Legal business name | Parks, Jennifer A |
| Credentials | LPC, LPCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588728547 | NPPES |
| South Carolina | MEDICAID | 190166 |
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