MEDICARE: DR. JAIME KATHRYN PARKER PHD, LPC, NCC

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	1479	MS

General Provider Information

NPI Number	:	1538500350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIME KATHRYN PARKER PHD, LPC, NCC

Provider Business Mailing Address
First Line	:	1508 GOVERNMENT ST
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3826
Country	:	US
Telephone Number	:	228-282-0604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 GOVERNMENT ST
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3826
Country	:	US
Telephone Number	:	228-282-0604
Fax Number	:	855-834-3511

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

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	11/09/2023

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