Individual
JEREMY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
101 N 1ST AVE STE 2310, PHOENIX, AZ 85003-1902
(312) 578-9990
(312) 275-7663
Mailing address
300 W ADAMS ST STE 514, CHICAGO, IL 60606-5108
(312) 578-9990
(312) 275-7663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
01/11/2022
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