MEDICARE: CHRISTINE ANN PARKER LPCC

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
1	101YP2500X	Professional Counselor	2006009845	MO
2	101YP2500X	Professional Counselor	LPCC10275	CA

General Provider Information

NPI Number	:	1023150174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ANN PARKER LPCC

Provider Business Mailing Address
First Line	:	3225 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5701
Country	:	US
Telephone Number	:	760-456-5504
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5701
Country	:	US
Telephone Number	:	760-456-5506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	04/04/2025

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Directions to “ CHRISTINE ANN PARKER LPCC” Practice Location

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