Individual
ALLENA MAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4065 E HILLS CT SE, GRAND RAPIDS, MI 49546-6299
(616) 942-2081
(616) 942-5932
Mailing address
405 W GREENLAWN AVE STE 200, LANSING, MI 48910-2889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024946
MI
106S00000X
Behavior Technician
Primary
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
05/10/2021
Last updated
07/09/2026
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