Individual
MR. JERRY EDWARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
Mailing address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
701002010
VA
101YP2500X
Professional Counselor
Primary
0701002010
VA
Other
Enumeration date
07/04/2006
Last updated
03/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us