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NPI Code Detail

MEDICARE: MR. THOMAS ADAMS PARKER LPC

MEDICARE:  MR. THOMAS ADAMS 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
1101YP2500XProfessional CounselorLPC006864GA

General Provider Information

NPI Number : 1407110406
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS ADAMS PARKER LPC
Provider Business Mailing Address
First Line : 219 RAINHILL STATION DR
Second Line :
City : DAWSONVILLE
State : GA
Zip : 30534-3583
Country : US
Telephone Number : 478-396-1195
Fax Number :
Provider Business Practice Location Address
First Line : 1389 WEBER INDUSTRIAL DR
Second Line :
City : CUMMING
State : GA
Zip : 30041-6468
Country : US
Telephone Number : 470-798-0094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 11/15/2024

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Directions to “ MR. THOMAS ADAMS PARKER LPC” Practice Location

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