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NPI Code Detail

MEDICARE: JOHN MARK PARKER MS, MDIV/CE, NCC

MEDICARE:   JOHN MARK PARKER  MS, MDIV/CE, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorGA

General Provider Information

NPI Number : 1558291799
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MARK PARKER MS, MDIV/CE, NCC
Provider Business Mailing Address
First Line : 707 WHITLOCK AVE SW STE G6
Second Line :
City : MARIETTA
State : GA
Zip : 30064-4653
Country : US
Telephone Number : 470-338-3488
Fax Number :
Provider Business Practice Location Address
First Line : 707 WHITLOCK AVE SW STE G6
Second Line :
City : MARIETTA
State : GA
Zip : 30064-4653
Country : US
Telephone Number : 470-338-3488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ JOHN MARK PARKER MS, MDIV/CE, NCC” Practice Location

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