Individual
JENNIFER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 W CHEYENNE AVE STE 101, NORTH LAS VEGAS, NV 89032-3476
(702) 639-4400
Mailing address
4107 W CHEYENNE AVE STE 101, NORTH LAS VEGAS, NV 89032-3476
(702) 639-4400
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
10/29/2018
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