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General NPI Number Information
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NPI Number | 1124568613
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Entity Type | Organization
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Legal Business Name | PARKER FAMILY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 7921 RUE MADISON
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-7681
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Country | US
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Telephone | 228-217-0119
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Fax |
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Provider Business Mailing Address
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Address Line | 7921 RUE MADISON
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-7681
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Country | US
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Telephone | 228-217-0119
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAIME KATHRYN PARKER
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Credential | PHD, LPC, NCC
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Telephone | 228-217-0119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1479
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License Number State | MS
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