| 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 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173976172 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083691018 PECOS PAC ID: 1153774153 Enrollment ID: I20240125003712 |
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