Individual
JOCQUES PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
Mailing address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124564711
—
LA
Enumeration date
01/30/2019
Last updated
01/30/2019
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