Parker, Justin

Parker, Justin is an sole proprietor health care provider with primary practice located at 3512 Virginia Dare Trl N , Kitty Hawk NC 27949-4079. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Parker, Justin can be contacted via phone (252) 242-3900.

Contact Information

Primary practice address
3512 Virginia Dare Trl N Kitty Hawk NC 27949-4079
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A15964 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-26586 North Carolina

Profile Details

NPI number 1518574961
LBN Legal business name Parker, Justin
Credentials LCAS-A, LCMHC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2020
Last updated Sep 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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