Basic Information
| Provider Information | |||||||||
| NPI: | 1164906251 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRICKLAND | ||||||||
| FirstName: | PARKER | ||||||||
| MiddleName: | JAMES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5150 E PACIFIC COAST HWY STE 100 | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908043394 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624907600 | ||||||||
| FaxNumber: | 5624907601 | ||||||||
| Practice Location | |||||||||
| Address1: | 5150 E PACIFIC COAST HWY STE 100 | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908043394 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624907600 | ||||||||
| FaxNumber: | 5624907601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2018 | ||||||||
| LastUpdateDate: | 10/26/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | N | Behavioral Health & Social Service Providers | Counselor | 106H00000X | AMFT12833 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.