person
Jeanine B Sparks, LPC
Professional Counselor in Wasilla, Alaska
NPI 1104063056

Jeanine B Sparks is a Professional Counselor based in Wasilla, AK and is specialized in Professional. Jeanine B Sparks practices in Wasilla, AK and has the professional credentials of LPC. The NPI Number for Jeanine B Sparks is 1104063056 and holds a License No. 512 (Alaska).

The current practice location address for Jeanine B Sparks is 491 N Knik St, Wasilla, AK and can be reached out via phone at 907-727-8103. You can also correspond with Jeanine B Sparks through the mailing address at 491 N KNIK ST, WASILLA, AK - 99654-7049 (mailing address contact number: 907-727-8103).

Location: 491 N Knik St, Wasilla, AK, 99654-7049
person
Provider Profile Details
NPI Number
1104063056
Provider Name
Jeanine B Sparks
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
491 N Knik St, Wasilla, AK, 99654-7049
Phone Number
907-727-8103
Fax Number
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
491 N Knik St
City
State
Zip
99654-7049
Phone Number
907-727-8103
Fax Number
person
Provider Business Mailing Address Details
Address
491 N Knik St
City
State
Zip
99654-7049
Phone Number
907-727-8103
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
512 (Alaska)
Definition
Definition to come...
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