Individual provider · Type 1 NPI

Libby Sparks, CADC-I

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1134526734 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 671-0622 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01-03-31 (OR)

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

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About NPI 1134526734

Libby Sparks, CADC-I's National Provider Identifier is 1134526734, issued on Nov 25, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Sep 7, 2022.