Provider Demographics
NPI:1942574637
Name:PARKER, MARYMARGARET (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MARYMARGARET
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24107 DEL MONTE DR.
Mailing Address - Street 2:UNIT 19
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:661-259-4620
Mailing Address - Fax:
Practice Address - Street 1:24107 DEL MONTE DR
Practice Address - Street 2:UNIT 19
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3869
Practice Address - Country:US
Practice Address - Phone:661-259-4620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50535106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist