Jim Parrish Counseling P C | |
1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 | |
(815) 229-7102 | |
Not Available |
Full Name | Jim Parrish Counseling P C |
---|---|
Speciality | Counselor |
Location | 1639 N Alpine Rd Ste 403, Rockford, Illinois |
Authorized Official Name and Position | Jim Parrish (OWNER) |
Authorized Official Contact | 8152297102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jim Parrish Counseling P C 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (815) 229-7102 | Jim Parrish Counseling P C 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (815) 229-7102 |
NPI Number | 1780458778 |
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Provider Enumeration Date | 11/09/2023 |
Last Update Date | 11/09/2023 |
Certification Date | 11/09/2023 |
Medicare PECOS PAC ID | 3173976172 |
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Medicare Enrollment ID | O20240125003615 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780458778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | James D Parrish |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083691018 PECOS PAC ID: 1153774153 Enrollment ID: I20240125003712 |
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