About
Jerry Edward Park is a Professional Counselor in Virginia Beach, Virginia. He has over 17 years of experience. Contact Jerry Edward Park to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Not Sole Proprietor
Organization Name: Community Direct Services, Inc.
Gender
Male
Years in Practice
17 years
Healthcare Provider Taxonomy
- Code: 101YP2500X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Professional
- Code: 101YM0800X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Mental Health
Credentials
- Licensed Professional Counselor (LPC)
Licenses
| Name | License Number | State |
|---|---|---|
| LPC | 0701002010 Verify | VA |
Practice Locations
184 Business Park Drive
Suite 200
Virginia Beach, VA 23462-6533
Phone Number: (757) 466-3336
Fax Number: (757) 455-5750
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