Individual
MRS. HEATHER RENEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2005040310
MO
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11819662
CAQH
—
05
—
497576207
—
MO
Enumeration date
07/11/2006
Last updated
11/06/2018
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