Individual provider · Type 1 NPI

Avis Sparks

Mental Health Counselor · Brandon, MS

NPI number 1942033238 Active

Practice location

613 Marquette Rd
Brandon, MS 39042-3038

Call (601) 824-1692 Map

Mailing address

4141 Crane Blvd
Jackson, MS 39216-3406

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1942033238

Avis Sparks's National Provider Identifier is 1942033238, issued on Aug 22, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, MS. The record was last updated on Aug 22, 2024.