Provider Demographics
NPI:1558516534
Name:JONES-PARKS, KATHY LYNN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:LYNN
Last Name:JONES-PARKS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2942 SW WANAMAKER DRIVE B
Mailing Address - Street 2:SUITE C
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4186
Mailing Address - Country:US
Mailing Address - Phone:785-640-0689
Mailing Address - Fax:785-783-7796
Practice Address - Street 1:2942B SW WANAMAKER DR
Practice Address - Street 2:SUITE C
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4186
Practice Address - Country:US
Practice Address - Phone:785-640-0689
Practice Address - Fax:785-783-7796
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS886506255101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health