person
Mr. Jerry Edward Park, LPC
Mental Health Counselor in Virginia Beach, Virginia
NPI 1457381360

Jerry Edward Park is a Mental Health Counselor based in Virginia Beach, VA and is specialized in Mental Health. Jerry Edward Park practices in Virginia Beach, VA and has the professional credentials of LPC. The NPI Number for Jerry Edward Park is 1457381360 and holds a License No. 0701002010 (Virginia).

The current practice location address for Jerry Edward Park is 184 Business Park Drive, Virginia Beach, VA and can be reached out via phone at 757-466-3336 and via fax at 757-455-5750.

Location: 184 Business Park Drive, Virginia Beach, VA, 23462-6533
person
Provider Profile Details
NPI Number
1457381360
Provider Name
Jerry Edward Park
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
184 Business Park Drive, Virginia Beach, VA, 23462-6533
Phone Number
757-466-3336
Fax Number
757-455-5750
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
184 Business Park Drive
City
State
Zip
23462-6533
Phone Number
757-466-3336
Fax Number
757-455-5750
person
Provider Business Mailing Address Details
Address
184 Business Park Drive
City
State
Zip
23462-6533
Phone Number
757-466-3336
Fax Number
757-455-5750
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
701002010 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002010 (Virginia)
Definition
Definition to come...
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