Individual provider · Type 1 NPI

Kimberly Elizabeth Sparks, CDP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1043631302 Active

Practice location

12201 Pacific Ave S
Tacoma, WA 98444-5126

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60097366 (WA)

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

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About NPI 1043631302

Kimberly Elizabeth Sparks, CDP's National Provider Identifier is 1043631302, issued on Jan 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Apr 9, 2015.