MR. STACY SPARKS

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1235449927

Practice Address

1963 N E ST
San Bernardino, CA 92405

Phone: (909) 881-6146

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1235449927 is the National Provider Identifier for MR. STACY SPARKS, a Counselor - Addiction (Substance Use Disorder) provider located in San Bernardino, CA. This NPI was enumerated on October 14, 2010.
MR. STACY SPARKS practices at 1963 N E ST, San Bernardino, CA 92405.

Quick Facts

NPI
1235449927
Type
Individual
Enumerated
Oct 14, 2010
Last Updated
Oct 14, 2010

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