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Provider Information for 1083871735


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LASONYA DENISE PARKER


Sex: Female

NPI: 1083871735
Last Updated: 2008-05-20
Certification Date:

Details

NameValue
NPI1083871735
Enumeration Date2008-05-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2015 MARION ST
COLUMBIA, SC 29201-2113
United States

Phone: 803-898-0123 | Fax:
 
Primary Practice Address 2015 MARION ST
COLUMBIA, SC 29201-2113
United States

Phone: 803-898-0123 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental Health