Individual provider · Type 1 NPI
Stacey Sparks, LPC
Professional Counselor · Maroa, IL
NPI number
1508325176
Active
Practice location
410 W Lincoln St
Maroa, IL 61756-9220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178005202 (IL) |
Professional Counselor: Definition to come...
About NPI 1508325176
Stacey Sparks, LPC's National Provider Identifier is 1508325176, issued on Mar 13, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maroa, IL. The record was last updated on Mar 13, 2019.