Provider Demographics
NPI:1528052198
Name:PARKER, ANNE M (LPC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-1940
Mailing Address - Country:US
Mailing Address - Phone:419-668-0528
Mailing Address - Fax:419-663-5643
Practice Address - Street 1:333 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-1940
Practice Address - Country:US
Practice Address - Phone:419-668-0528
Practice Address - Fax:419-663-5643
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001646SUPV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
067720OtherVALUE OPTIONS
344765000OtherMAGELLAN
OH000000278516OtherANTHEM BLUE CROSS