Search › Virginia › 101YP2500X
Jerry Park, LPC
NPI 1457381360 · on the registry since 2006
Practice
- Address
- 2202 Executive Dr Ste C
Hampton, VA 23666 - Phone
- (757) 827-7707
- Organisation at this address
- Genesis Counseling Center, Inc.
Genesis Counseling Center, Inc.
Peninsula Foot & Ankle Specialists PlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia