person
Mr. Nicholas Andrew Sparks
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1659918621

Nicholas Andrew Sparks is an Addiction (Substance Use Disorder) Counselor based in Coburg, OR and is specialized in Addiction (Substance Use Disorder). Nicholas Andrew Sparks practices in Coburg, OR. The NPI Number for Nicholas Andrew Sparks is 1659918621 and holds a License No. T-19-372 (Oregon).

The current practice location address for Nicholas Andrew Sparks is 91150Coburg Industrial Way, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 91150Coburg Industrial Way, Coburg, OR, 97408
person
Provider Profile Details
NPI Number
1659918621
Provider Name
Nicholas Andrew Sparks
Credential
Provider Entity Type
Individual
Gender
Male
Address
91150Coburg Industrial Way, Coburg, OR, 97408
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
12/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91150Coburg Industrial Way
City
State
Zip
97408
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
91150Coburg Industrial Way
City
State
Zip
97408
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-19-372 (Oregon)
Definition
Definition to come...
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