Individual provider · Type 1 NPI

Courtney Sparks

Mental Health Counselor · Tupelo, MS

NPI number 1093362899 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Fax (662) 640-4595

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093362899

Courtney Sparks's National Provider Identifier is 1093362899, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Aug 26, 2019.