Individual
JIM PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
450 LANIER RD, MADISON, AL 35758-1866
(256) 774-4500
(256) 774-4573
Mailing address
450 LANIER RD, MADISON, AL 35758-1866
(256) 774-4500
(256) 774-4573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0350C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0350C
SOCIAL WORK LICENSE
AL
Enumeration date
08/03/2005
Last updated
04/07/2009
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