Provider Demographics
NPI:1013642685
Name:HILTON, PARKER R (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:PARKER
Middle Name:R
Last Name:HILTON
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LEONARDO
Mailing Address - State:NJ
Mailing Address - Zip Code:07737-1414
Mailing Address - Country:US
Mailing Address - Phone:732-673-4297
Mailing Address - Fax:
Practice Address - Street 1:54 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LEONARDO
Practice Address - State:NJ
Practice Address - Zip Code:07737-1414
Practice Address - Country:US
Practice Address - Phone:732-673-4297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00863100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00863100OtherNJ DEPT OF CONSUMER AFFAIRS