Provider Demographics
NPI:1619740834
Name:PARKER, ADRIAN (COUNSELOR IN TRAININ)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:COUNSELOR IN TRAININ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6564 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-2701
Mailing Address - Country:US
Mailing Address - Phone:318-435-7558
Mailing Address - Fax:
Practice Address - Street 1:809 JULIA ST
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-2648
Practice Address - Country:US
Practice Address - Phone:318-728-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)