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Jennifer Michelle Sparks
Mental Health Counselor in Costa Mesa, California
NPI 1407176944

Jennifer Michelle Sparks is a Mental Health Counselor based in Costa Mesa, CA and is specialized in Mental Health. Jennifer Michelle Sparks practices in Costa Mesa, CA. The NPI Number for Jennifer Michelle Sparks is 1407176944 and holds a License No. (California).

The current practice location address for Jennifer Michelle Sparks is 611 Shasta Lane, Costa Mesa, CA and can be reached out via phone at 714-803-9181.

Location: 611 Shasta Lane, Costa Mesa, CA, 92626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407176944
Provider Name
Jennifer Michelle Sparks
Credential
Provider Entity Type
Individual
Gender
Female
Address
611 Shasta Lane, Costa Mesa, CA, 92626
Phone Number
714-803-9181
Fax Number
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 Shasta Lane
City
Costa Mesa
State
California
Zip
92626
Phone Number
714-803-9181
Fax Number
person
Provider Business Mailing Address Details
Address
611 Shasta Lane
City
Costa Mesa
State
California
Zip
92626
Phone Number
714-803-9181
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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