Healthcare Provider Details

I. General information

NPI: 1518159987
Provider Name (Legal Business Name): CHRISTOPHER PARKER LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 VERMONT ST
QUINCY IL
62301-3049
US

IV. Provider business mailing address

PO BOX 135
BAT CAVE NC
28710-0135
US

V. Phone/Fax

Practice location:
  • Phone: 217-222-8254
  • Fax: 217-222-4512
Mailing address:
  • Phone: 828-222-7949
  • Fax: 844-234-7856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18943
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180002088
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: