Individual provider · Type 1 NPI
Jack Sparks
Professional Counselor · St. Paul, MN
NPI number
1720739337
Active
Practice location
1515 Energy Park Dr
St. Paul, MN 55108-5229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5590 (MN) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1720739337
Jack Sparks's National Provider Identifier is 1720739337, issued on Jan 14, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on May 10, 2026.