Individual
MS. CAROL JEAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4100 W KENNEDY BLVD, SUITE 214, TAMPA, FL 33609-2288
(813) 207-0022
(813) 207-0022
Mailing address
4100 W KENNEDY BLVD, SUITE 214, TAMPA, FL 33609-2288
(813) 207-0022
(813) 207-0022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 001407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z2014
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/21/2006
Last updated
07/08/2007
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