Individual provider · Type 1 NPI
Crystal Sparks, LICDC-CS, LSW
Addiction (Substance Use Disorder) Counselor · Toledo, OH
NPI number
1821494469
Active
Practice location
1012 Waverly Ave
Toledo, OH 43607-3736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 954159 (OH) |
| Social Worker | 104100000X | S 0012385 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821494469
Crystal Sparks, LICDC-CS, LSW's National Provider Identifier is 1821494469, issued on Nov 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Nov 10, 2014.