Individual
MR. LARRY JUAN PARKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
220 ST THOMAS RD, FAYETTEVILLE, NC 28311-2999
(910) 978-4128
Mailing address
220 ST THOMAS RD, FAYETTEVILLE, NC 28311-2999
(910) 978-4128
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
98 00005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P80624
ETN
NC
Enumeration date
09/18/2009
Last updated
02/22/2010
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