Provider Demographics
NPI:1366570988
Name:PARKER, MURIEL ELIZABETH (MFCC)
Entity type:Individual
Prefix:MRS
First Name:MURIEL
Middle Name:ELIZABETH
Last Name:PARKER
Suffix:
Gender:F
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 W CIENEGA AVE
Mailing Address - Street 2:SPACE 28
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2855
Mailing Address - Country:US
Mailing Address - Phone:909-394-5995
Mailing Address - Fax:909-394-5995
Practice Address - Street 1:867 ATCHISON ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-2314
Practice Address - Country:US
Practice Address - Phone:626-798-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health