Individual
JEANIE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A, M.ED
Contact information
Practice address
868 CHESAPEAKE WAY, COLUMBUS, GA 31907-7336
(404) 565-3776
Mailing address
868 CHESAPEAKE WAY, COLUMBUS, GA 31907-7336
(404) 565-3776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
GA
101YS0200X
School Counselor
Primary
—
GA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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