Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1326510397 |
---|---|
Provider Name | Elizabeth Parham |
First Address | North Chesterfield, VA 23235-5645 |
Second Address | North Chesterfield, VA 23235-5645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2018 |
Last Update Date | 31/12/2018 |