GREGORY K PARKER LCPC
NPI 1215091764
Counselor - Mental Health in Rockford, IL
Active since December 20, 2006
About Gregory K Parker Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY K PARKER LCPC (NPI 1215091764) is an individual mental health provider in Rockford, Illinois and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1215091764
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGREGORY K PARKERCredential: LCPC
Location Address1415 E STATE STRockford, IL 61104-2333
Mailing AddressPo Box 1567Rockford, IL 61110-0067
Phone(815) 489-4376
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215091764 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1415 E STATE ST, Rockford, IL 61104
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
1415 E STATE ST, SUITE 900
ROCKFORD, IL 61104
ROCKFORD, IL 61104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215091764, enumerated as an "individual" on December 20, 2006.
The provider is located at 1415 E STATE ST ROCKFORD, IL 61104 and the phone number is (815) 489-4376.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
