Individual
JEFFERY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 N CAROLINA ST, NEW ROADS, LA 70760
(225) 638-8449
Mailing address
120 N CAROLINA ST, NEW ROADS, LA 70760-3604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
05/31/2018
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