Most Relevant Information
Provider Data
| NPI Number: | 1003662719 |
| Provider Name: | JERI PARKS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2024 |
| Last Updated: | 04/24/2024 |
Provider Practice Location
140 GILBERT RD S
ONALASKA
WA
985709400
Practice Location Phone/Fax
| Phone: | 4252245096 |
| Fax: |
Provider Mailing Location
140 GILBERT RD S
ONALASKA
WA
985709400
Provider Mailing Phone/Fax
| Phone: | 4252245096 |
| Fax: |