MR. JERRY PARK, LPC
Counselor - Professional
Active
Individual
NPI: 1457381360
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 701002010 (VA) |
| Counselor - Professional | 101YP2500X | Yes | 0701002010 (VA) |
Frequently Asked Questions
NPI 1457381360 is the National Provider Identifier for MR. JERRY PARK, LPC, a Counselor - Professional provider located in Hampton, VA. This NPI was enumerated on July 4, 2006.
MR. JERRY PARK, LPC practices at 2202 EXECUTIVE DR STE C, Hampton, VA 23666.
Quick Facts
- NPI
- 1457381360
- Type
- Individual
- Enumerated
- Jul 4, 2006
- Last Updated
- Mar 20, 2025
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