Provider Demographics
NPI:1184752412
Name:PARKER, JOHN H (LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:H
Last Name:PARKER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 ALMA HWY
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-5027
Mailing Address - Country:US
Mailing Address - Phone:479-474-4483
Mailing Address - Fax:479-262-5041
Practice Address - Street 1:3103 ALMA HWY
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-5027
Practice Address - Country:US
Practice Address - Phone:479-410-1700
Practice Address - Fax:479-410-1710
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0401005101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional