Provider Demographics
NPI:1003337924
Name:PARSONS, JEFFREY S (RESIDENT IN COUNSELI)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:S
Last Name:PARSONS
Suffix:
Gender:M
Credentials:RESIDENT IN COUNSELI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7308 HANOVER GREEN DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1793
Mailing Address - Country:US
Mailing Address - Phone:804-781-4418
Mailing Address - Fax:
Practice Address - Street 1:7308 HANOVER GREEN DR STE 300
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1793
Practice Address - Country:US
Practice Address - Phone:804-781-4418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health