Individual provider · Type 1 NPI

Coty Marie Sparks

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1043058985 Active

Practice location

1750 5th Ave
San Diego, CA 92101-2754

Call (619) 515-2588 Map

Other practice locations

  • 823 Gateway Center Way, San Diego, CA 92102-4541 · (619) 515-2300

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1538401123 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043058985

Coty Marie Sparks's National Provider Identifier is 1043058985, issued on Jul 16, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 24, 2024.