Individual provider · Type 1 NPI

Alexis Elayne Sparks, MA, LCPC

Mental Health Counselor · Carbondale, IL

NPI number 1376279943 Active

Practice location

2311 S Illinois Ave
Carbondale, IL 62903-5912

Call (618) 457-6703 Map

Fax (618) 956-9349

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.014593 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1376279943

Alexis Elayne Sparks, MA, LCPC's National Provider Identifier is 1376279943, issued on Jul 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carbondale, IL. The record was last updated on Sep 27, 2022.