Individual
MS. WANDA TERESA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAS
Contact information
Practice address
327 N QUEEN ST, SUITE 110, KINSTON, NC 28501-4984
(252) 522-8002
(252) 523-1685
Mailing address
327 N QUEEN ST STE 110, KINSTON, NC 28501-4985
(252) 549-0887
(252) 917-8616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
6111762
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169VR
BCBS
NC
05
—
6111762
—
NC
Enumeration date
08/12/2005
Last updated
11/25/2025
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