Provider Demographics
NPI:1972090322
Name:PARKER-CHIECO, ODDETTE A (MS COUNSELING)
Entity Type:Individual
Prefix:
First Name:ODDETTE
Middle Name:A
Last Name:PARKER-CHIECO
Suffix:
Gender:F
Credentials:MS COUNSELING
Other - Prefix:
Other - First Name:NOT APPLICABLE
Other - Middle Name:NOT APPLICABLE
Other - Last Name:NOT APPLICABLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS COUNSELING
Mailing Address - Street 1:THE NEW YORK FOUNDLING HEADQUARTERS
Mailing Address - Street 2:590 AVENUE OF AMERICAS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9904
Mailing Address - Country:US
Mailing Address - Phone:212-633-9300
Mailing Address - Fax:
Practice Address - Street 1:FORESTDALE INC
Practice Address - Street 2:67-35 112 STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11356
Practice Address - Country:US
Practice Address - Phone:718-263-0740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health