Individual
MR. PARKER G HAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
425 GRANT ST, BRIDGEPORT, CT 06610-3222
(203) 337-9943
(203) 337-9986
Mailing address
24 FARVIEW RD, BROOKFIELD, CT 06804-1831
(203) 470-4637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001259
CT
101YP2500X
Professional Counselor
Primary
001259
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008038185
—
CT
05
—
008042339
—
CT
Enumeration date
12/28/2011
Last updated
11/28/2012
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