JACOB PARKS
Counselor
Active
Individual
NPI: 1760751861
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
| Nutritionist | 133N00000X | No | - |
| Clinical Exercise Physiologist | 224Y00000X | No | - |
Frequently Asked Questions
NPI 1760751861 is the National Provider Identifier for JACOB PARKS, a Counselor provider located in Reston, VA. This NPI was enumerated on December 19, 2011.
JACOB PARKS practices at 11335 SUNSET HILLS RD, Reston, VA 20190.
Quick Facts
- NPI
- 1760751861
- Type
- Individual
- Enumerated
- Dec 19, 2011
- Last Updated
- Dec 19, 2011
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