Provider Demographics
NPI:1528105343
Name:PARKES, CHRISTINE W (MA)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:W
Last Name:PARKES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 11TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6654
Mailing Address - Country:US
Mailing Address - Phone:360-733-6987
Mailing Address - Fax:360-756-8850
Practice Address - Street 1:1112 11TH ST STE 301
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6654
Practice Address - Country:US
Practice Address - Phone:360-733-6987
Practice Address - Fax:360-756-8850
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4982PAOtherREGENCE