Individual
J HEIDI PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1465 MUNICIPAL AVE, STE 3119, PLANO, TX 75074-6293
(214) 282-1675
Mailing address
PO BOX 940165, PLANO, TX 75094-0165
(214) 282-1675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19079
STATE LICENSE
TX
Enumeration date
08/01/2006
Last updated
07/08/2007
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