MEDICARE: MS. YOLANDA PARKER LPC

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	101YM0800X	Mental Health Counselor	78922	TX

General Provider Information

NPI Number	:	1285006999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOLANDA PARKER LPC

Provider Business Mailing Address
First Line	:	2412 GROVER CLEVELAND DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-5730
Country	:	US
Telephone Number	:	216-324-2782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2412 GROVER CLEVELAND DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-5730
Country	:	US
Telephone Number	:	216-324-2782
Fax Number	:

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

Provider Enumeration Date	:	10/21/2015
Last Update Date	:	01/26/2021

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