Individual provider · Type 1 NPI

Kendall R. Sparks, LPC

Professional Counselor · Virginia Beach, VA

NPI number 1194131607 Active

Practice location

281 Independence Blvd, #326
Virginia Beach, VA 23462-2986

Call (757) 490-0377 Map

Mailing address

2105 Pateshall Ct
Virginia Beach, VA 23464-1560

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701005862 (VA)

Professional Counselor: Definition to come...

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About NPI 1194131607

Kendall R. Sparks, LPC's National Provider Identifier is 1194131607, issued on Jul 3, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 3, 2014.