person
Madison Dominique Sparkman, MED
Mental Health Counselor in Chicago, Illinois
NPI 1952088791

Madison Dominique Sparkman is a Mental Health Counselor based in Oak Park, IL and is specialized in Mental Health. Madison Dominique Sparkman practices in Chicago, IL and has the professional credentials of MED. The NPI Number for Madison Dominique Sparkman is 1952088791 and holds a License No. (Illinois).

The current practice location address for Madison Dominique Sparkman is 53 W Jackson Blvd Ste 604, Chicago, IL and can be reached out via phone at 773-423-8447.

Location: 53 W Jackson Blvd Ste 604, Chicago, IL, 60301-1364
person
Provider Profile Details
NPI Number
1952088791
Provider Name
Madison Dominique Sparkman
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
53 W Jackson Blvd Ste 604, Chicago, IL, 60301-1364
Phone Number
773-423-8447
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
53 W Jackson Blvd Ste 604
City
State
Zip
60604-3448
Phone Number
773-423-8447
Fax Number
person
Provider Business Mailing Address Details
Address
53 W Jackson Blvd Ste 604
City
State
Zip
60604-3448
Phone Number
773-423-8447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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