RICKEY SPARKS, PHD

Counselor - Mental Health

Active Individual
NPI: 1184935280

Practice Address

904 W SOUTH PARK BLVD
Broken Arrow, OK 74011

Phone: (918) 455-2714

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 391 (OK)
Counselor - Mental Health 101YM0800X Yes 1588 (OK)

Frequently Asked Questions

NPI 1184935280 is the National Provider Identifier for RICKEY SPARKS, PHD, a Counselor - Mental Health provider located in Broken Arrow, OK. This NPI was enumerated on June 23, 2010.
RICKEY SPARKS, PHD practices at 904 W SOUTH PARK BLVD, Broken Arrow, OK 74011.

Quick Facts

NPI
1184935280
Type
Individual
Enumerated
Jun 23, 2010
Last Updated
Jun 23, 2010

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