| Sparks Counseling Services, Llc | |
|
101 Mechanic St Gardner MA 01440-3119 | |
| (508) 963-9526 | |
| Not Available |
| Full Name | Sparks Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 Mechanic St, Gardner, Massachusetts |
| Authorized Official Name and Position | Stacey Sparks (OWNER) |
| Authorized Official Contact | 5089639526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Counseling Services, Llc 12 Fern St Baldwinville MA 01436-1354 Ph: (508) 963-9526 | Sparks Counseling Services, Llc 101 Mechanic St Gardner MA 01440-3119 Ph: (508) 963-9526 |
| NPI Number | 1235776329 |
|---|---|
| Provider Enumeration Date | 12/08/2019 |
| Last Update Date | 12/08/2019 |
| Certification Date | 12/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235776329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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