Provider Demographics
NPI:1326196502
Name:PARSONS, JERRI ANN (LPC, LBP)
Entity Type:Individual
Prefix:MRS
First Name:JERRI
Middle Name:ANN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LPC, LBP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 SUNNYSLOPE DR
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3718
Mailing Address - Country:US
Mailing Address - Phone:580-256-9836
Mailing Address - Fax:580-254-5544
Practice Address - Street 1:1823 TEXAS ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-2932
Practice Address - Country:US
Practice Address - Phone:580-254-5544
Practice Address - Fax:580-254-5544
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2660101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional