Individual provider · Type 1 NPI

Jennifer Michelle Sparks

Mental Health Counselor · Costa Mesa, CA

NPI number 1407176944 Active

Practice location

611 Shasta Lane, Suite 100
Costa Mesa, CA 92626

Call (714) 803-9181 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407176944

Jennifer Michelle Sparks's National Provider Identifier is 1407176944, issued on Jun 7, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 14, 2011.