Individual provider · Type 1 NPI

Sparkle L. Nicks

Marriage & Family Therapist · Peoria, IL

NPI number 1124627005 Active

Practice location

10508 Churchill Dr
Peoria, IL 61615-1178

Call (309) 706-3676 Map

Mailing address

2610 W Richwoods Blvd
Peoria, IL 61604-7112

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1124627005

Sparkle L. Nicks's National Provider Identifier is 1124627005, issued on Oct 21, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 21, 2020.