Provider Demographics
NPI:1447414305
Name:PARKER, JANE ANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANNE
Last Name:PARKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 32ND ST W
Mailing Address - Street 2:C-4
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-2700
Mailing Address - Country:US
Mailing Address - Phone:941-751-8003
Mailing Address - Fax:941-753-8936
Practice Address - Street 1:4301 32ND ST W
Practice Address - Street 2:C-4
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-2700
Practice Address - Country:US
Practice Address - Phone:941-751-8003
Practice Address - Fax:941-753-8936
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9516101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health