Provider Demographics
NPI:1689920373
Name:PARKER, KENNETH E (LPC, MS, NCC)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:E
Last Name:PARKER
Suffix:
Gender:M
Credentials:LPC, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 W LOOP 1604 N APT 12307
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3954
Mailing Address - Country:US
Mailing Address - Phone:210-570-4822
Mailing Address - Fax:
Practice Address - Street 1:3010 W LOOP 1604 N APT 12307
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3954
Practice Address - Country:US
Practice Address - Phone:210-570-4822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health