Individual
JORDAN THOMAS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4445 CORPORATION LN, VIRGINIA BEACH, VA 23462-3262
(757) 233-0003
Mailing address
2900 EVERGREEN CT, CHESAPEAKE, VA 23321-4209
(757) 572-4780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014455
VA
Other
Enumeration date
01/28/2025
Last updated
03/27/2025
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