ISRAEL JEROME PARKER

SUMTER, SC
NPI1659610103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC  13011713)
Enumeration Date2013-02-04
Last Update Date2013-02-04
Business Address
Mr. ISRAEL JEROME PARKER
115 N HARVIN ST
SUMTER, SC 29150-4956
Phone number: 803-775-6815
Mailing Address
Mr. ISRAEL JEROME PARKER
115 N HARVIN ST
SUMTER, SC 29150-4956
Phone number: 803-775-6815