Individual provider · Type 1 NPI

Stacy Darnell Sparks

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1235449927 Active

Practice location

1963 N E St
San Bernardino, CA 92405-3919

Call (909) 881-6146 Map

Fax (909) 881-0111

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1235449927

Stacy Darnell Sparks's National Provider Identifier is 1235449927, issued on Oct 14, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 14, 2010.