National Provider Identifier
Jessica Parks
Jessica Parks is listed in the NPPES registry with a primary specialty of Mental Health Counselor in East Rochester, NY and a listed phone number of (585) 520-2464.
Profile Overview
- NPI
- 1376912162
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 22, 2015
- Last Updated
- September 26, 2023
Practice Location
- 206 E Elm St
- East Rochester, NY 14445-1508
Phone: (585) 520-2464
Specialties
- Mental Health Counselor (101YM0800X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1376912162
- Entity Type
- Individual
- Last Name
- Parks
- First Name
- Jessica
- Provider Other Last Name
- Pakan
- Provider Other First Name
- Jessica
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 206 E Elm St
- Mailing City
- East Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14445-1508
- Mailing Country
- US
- Mailing Phone
- (585) 520-2464
- Practice Street Address
- 206 E Elm St
- Practice City
- East Rochester
- Practice State
- NY
- Practice ZIP Code
- 14445-1508
- Practice Country
- US
- Practice Phone
- (585) 520-2464
- Enumeration Date
- September 22, 2015
- Last Updated
- September 26, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)