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Libby Sparks, CADC-I
Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon
NPI 1134526734

Libby Sparks is an Addiction (Substance Use Disorder) Counselor based in Roseburg, OR and is specialized in Addiction (Substance Use Disorder). Libby Sparks practices in Roseburg, OR and has the professional credentials of CADC-I. The NPI Number for Libby Sparks is 1134526734 and holds a License No. (Oregon).

The current practice location address for Libby Sparks is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-671-0622.

Location: 621 W Madrone St, Roseburg, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134526734
Provider Name
Libby Sparks
Credential
CADC-I
Provider Entity Type
Individual
Gender
Female
Address
621 W Madrone St, Roseburg, OR, 97470-0254
Phone Number
541-671-0622
Fax Number
Provider Enumeration Date
11/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-671-0622
Fax Number
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-671-0622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
01-03-31 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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