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Ms. Kimberly Elizabeth Sparks, CDP
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1043631302

Kimberly Elizabeth Sparks is an Addiction (Substance Use Disorder) Counselor based in Tacoma, WA and is specialized in Addiction (Substance Use Disorder). Kimberly Elizabeth Sparks practices in Tacoma, WA and has the professional credentials of CDP. The NPI Number for Kimberly Elizabeth Sparks is 1043631302 and holds a License No. CP60097366 (Washington).

The current practice location address for Kimberly Elizabeth Sparks is 12201 Pacific Ave S, Tacoma, WA and can be reached out via phone at 253-536-6425.

Location: 12201 Pacific Ave S, Tacoma, WA, 98444-5126
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Provider Profile Details
NPI Number
1043631302
Provider Name
Kimberly Elizabeth Sparks
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
12201 Pacific Ave S, Tacoma, WA, 98444-5126
Phone Number
253-536-6425
Fax Number
Provider Enumeration Date
01/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP60097366 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
12201 Pacific Ave S
City
State
Zip
98444-5126
Phone Number
253-536-6425
Fax Number
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Provider Business Mailing Address Details
Address
12201 Pacific Ave S
City
State
Zip
98444-5126
Phone Number
253-536-6425
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60097366 (Washington)
Definition
Definition to come...
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