Provider Demographics
NPI:1902494123
Name:PARKER, JANICE G (LPC AND EDD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:G
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC AND EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10302
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31095-5302
Mailing Address - Country:US
Mailing Address - Phone:478-334-7387
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE POINTE STE 103
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-3439
Practice Address - Country:US
Practice Address - Phone:478-334-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health