Provider Demographics
NPI:1134314792
Name:AYERS, JENNIFER PARKER (LPC NCC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:PARKER
Last Name:AYERS
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:T
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2241
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5418
Mailing Address - Country:US
Mailing Address - Phone:256-698-2633
Mailing Address - Fax:256-851-1432
Practice Address - Street 1:509 MADISON STREET
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4206
Practice Address - Country:US
Practice Address - Phone:256-698-2633
Practice Address - Fax:256-851-1432
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC2266101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor