JERRY EDWARD PARK

HAMPTON, VA
NPI1457381360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: VA  0701002010)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: VA  701002010)
Enumeration Date2006-07-04
Last Update Date2025-03-20
Business Address
Mr. JERRY EDWARD PARK LPC
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707
Mailing Address
Mr. JERRY EDWARD PARK LPC
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707