Individual provider · Type 1 NPI
Rickey Joe Sparks, PhD
Mental Health Counselor · Broken Arrow, OK
NPI number
1184935280
Active
Practice location
904 W South Park Blvd
Broken Arrow, OK 74011-2042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 391 (OK) |
| Mental Health Counselor Primary | 101YM0800X | 1588 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1184935280
Rickey Joe Sparks, PhD's National Provider Identifier is 1184935280, issued on Jun 23, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 23, 2010.