Individual provider · Type 1 NPI

Ruth Sparks, CASAC

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1457516239 Active

Practice location

9002 161st St
Jamaica, NY 11432-6108

Fax (718) 520-6460

Mailing address

1401 New York Ave
Brooklyn, NY 11210-1762

Other practice locations

  • 80-02 Kew Gardens, Suite 704, Kew Gardens, NY 11415 · (718) 520-1513

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17721 (NY)

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

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About NPI 1457516239

Ruth Sparks, CASAC's National Provider Identifier is 1457516239, issued on Jul 22, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Aug 1, 2024.