Individual provider · Type 1 NPI

Jacob Sparkowich

Mental Health Counselor · Vancouver, WA

NPI number 1790680833 Active

Practice location

11105 NE 14th St Ste 103
Vancouver, WA 98684-4309

Call (360) 952-4602 Map

Mailing address

PO Box 301
Brush Prairie, WA 98606-0301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHCA.MC.70042678 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1790680833

Jacob Sparkowich's National Provider Identifier is 1790680833, issued on Oct 9, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Oct 9, 2026.