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JERRY PARK, LPC

LPC

Professional Counselor

NPI: 1457381360Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

701002010(VA)
Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

0701002010(VA)

Contact & Hours

Address
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666

Quick Facts

NPI
1457381360
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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