Provider Demographics
NPI:1194559716
Name:PARKER HOWARD, CHRISTOPHER (CMPSS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:PARKER HOWARD
Suffix:
Gender:M
Credentials:CMPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 TELEPHONE RD STE 117
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5672
Mailing Address - Country:US
Mailing Address - Phone:805-642-7033
Mailing Address - Fax:
Practice Address - Street 1:4601 TELEPHONE RD STE 117
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5672
Practice Address - Country:US
Practice Address - Phone:805-642-7033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMPSS-ZHUKJQ175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist