person
Shannon Sparks
Addiction (Substance Use Disorder) Counselor in Xenia, Ohio
NPI 1255092102

Shannon Sparks is an Addiction (Substance Use Disorder) Counselor based in Hamilton, OH and is specialized in Addiction (Substance Use Disorder). Shannon Sparks practices in Xenia, OH. The NPI Number for Shannon Sparks is 1255092102 and holds a License No. CDCA.178872 (Ohio).

The current practice location address for Shannon Sparks is 36 N Detroit St, Xenia, OH and can be reached out via phone at 937-610-4673 and via fax at 937-736-2615.

Location: 36 N Detroit St, Xenia, OH, 45015-1653
person
Provider Profile Details
NPI Number
1255092102
Provider Name
Shannon Sparks
Credential
Provider Entity Type
Individual
Gender
Female
Address
36 N Detroit St, Xenia, OH, 45015-1653
Phone Number
937-610-4673
Fax Number
937-736-2615
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36 N Detroit St
City
State
Zip
45385-2909
Phone Number
937-610-4673
Fax Number
937-736-2615
person
Provider Business Mailing Address Details
Address
36 N Detroit St
City
State
Zip
45385-2909
Phone Number
937-610-4673
Fax Number
937-736-2615
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.178872 ()
Definition
Definition to come...
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