Provider Demographics
NPI:1316023633
Name:PARKES, LINDA JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:PARKES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 GREEN WATCH WAY
Mailing Address - Street 2:#101
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-2425
Mailing Address - Country:US
Mailing Address - Phone:703-648-3226
Mailing Address - Fax:
Practice Address - Street 1:9870 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3908
Practice Address - Country:US
Practice Address - Phone:703-591-9600
Practice Address - Fax:703-591-9656
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003274101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional