person
Alexis Elayne Sparks, MA,LCPC
Mental Health Counselor in Carbondale, Illinois
NPI 1376279943

Alexis Elayne Sparks is a Mental Health Counselor based in West Frankfort, IL and is specialized in Mental Health. Alexis Elayne Sparks practices in Carbondale, IL and has the professional credentials of MA,LCPC. The NPI Number for Alexis Elayne Sparks is 1376279943 and holds a License No. 180.014593 (Illinois).

The current practice location address for Alexis Elayne Sparks is 2311 S Illinois Ave, Carbondale, IL and can be reached out via phone at 618-457-6703 and via fax at 618-956-9349.

Location: 2311 S Illinois Ave, Carbondale, IL, 62896-2210
person
Provider Profile Details
NPI Number
1376279943
Provider Name
Alexis Elayne Sparks
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
2311 S Illinois Ave, Carbondale, IL, 62896-2210
Phone Number
618-457-6703
Fax Number
618-956-9349
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2311 S Illinois Ave
City
State
Zip
62903-5912
Phone Number
618-457-6703
Fax Number
618-956-9349
person
Provider Business Mailing Address Details
Address
2311 S Illinois Ave
City
State
Zip
62903-5912
Phone Number
618-457-6703
Fax Number
618-956-9349
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.014593 (Illinois)
Definition
Definition to come...
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