Provider Demographics
NPI:1538500350
Name:PARKER, JAIME KATHRYN (PHD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:KATHRYN
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3826
Mailing Address - Country:US
Mailing Address - Phone:228-282-0604
Mailing Address - Fax:
Practice Address - Street 1:1508 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3826
Practice Address - Country:US
Practice Address - Phone:228-282-0604
Practice Address - Fax:855-834-3511
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1479101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health