Individual
NICOLE THERON PARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5631 S PECOS RD, LAS VEGAS, NV 89120-1961
(702) 685-0877
Mailing address
258 WILLIAM WAY, WILLIAMSBURG, VA 23185-8601
(617) 631-4494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006375
VA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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