Individual
JON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC, NCC
Contact information
Practice address
2603 NW 13TH ST, GAINESVILLE, FL 32609-2835
(678) 310-8505
Mailing address
2603 NW 13TH ST, GAINESVILLE, FL 32609-2835
(510) 205-4659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC009958
GA
101YP2500X
Professional Counselor
Primary
MH19106
FL
Other
Enumeration date
02/11/2008
Last updated
07/03/2024
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