Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY EDWARD PARK, LPC
ActiveMR. JERRY EDWARD PARK, LPC is a Professional Counselor healthcare provider located in HAMPTON, Virginia. NPI 1457381360 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · HAMPTON, VA
Registration Details
- NPI Number
- 1457381360
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (19.932231956696 yrs)
- Last Updated
- Mar 20, 2025
- Licenses
-
701002010 (VA)0701002010 (VA)
Practice Information
- Address
-
2202 EXECUTIVE DR STE CHAMPTON, VA, 236666604Browse VA providers · Browse ZIP 23666
- Phone
- 7578277707
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in HAMPTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. LORETTA A MUELLER | LPC | 1912933714 |
| BRENT G GRIFFIN | LPC, LSATP | 1417984477 |
| PHYLLIS E PUGH | LPC, CSAC | 1417960279 |
| MARYANN HART | LPC, LMFT | 1346253085 |
| RICHARD J WILSON | LPC | 1871506527 |
| MRS. MARSHE MARIE MILBOURNE-JACKSON | LPC | 1619980091 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.