person
Stacey Sparks, LPC
Professional Counselor in Maroa, Illinois
NPI 1508325176

Stacey Sparks is a Professional Counselor based in Maroa, IL and is specialized in Professional. Stacey Sparks practices in Maroa, IL and has the professional credentials of LPC. The NPI Number for Stacey Sparks is 1508325176 and holds a License No. 178005202 (Illinois).

The current practice location address for Stacey Sparks is 410 W Lincoln St, Maroa, IL and can be reached out via phone at 217-433-3002.

Location: 410 W Lincoln St, Maroa, IL, 61756-9220
person
Provider Profile Details
NPI Number
1508325176
Provider Name
Stacey Sparks
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
410 W Lincoln St, Maroa, IL, 61756-9220
Phone Number
217-433-3002
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
410 W Lincoln St
City
State
Zip
61756-9220
Phone Number
217-433-3002
Fax Number
person
Provider Business Mailing Address Details
Address
410 W Lincoln St
City
State
Zip
61756-9220
Phone Number
217-433-3002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178005202 (Illinois)
Definition
Definition to come...
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