Individual
ALEXANDREA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6810 OLD 28TH ST SE STE 4, GRAND RAPIDS, MI 49546-6932
(616) 264-5414
Mailing address
320 COVELL AVE NW, GRAND RAPIDS, MI 49504-5936
(517) 927-6457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801105388
MI
1041C0700X
Clinical Social Worker
Primary
6801112280
MI
Other
Enumeration date
08/19/2020
Last updated
02/17/2023
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