Individual
ELISSA A. PARKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94166 8TH ST, GOLD BEACH, OR 97444-7747
(541) 425-5502
Mailing address
PO BOX 1845, GOLD BEACH, OR 97444-1845
(541) 425-5502
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730689811
—
OR
Enumeration date
08/09/2022
Last updated
08/09/2022
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