Individual provider · Type 1 NPI

Mark Sparks, LCSW

Mental Health Counselor · St. Augustine, FL

NPI number 1992411334 Active

Practice location

721 A1A Beach Blvd Ste 7
St. Augustine, FL 32080-6737

Call (904) 844-8308 Map

Mailing address

240 Whitland Way
St. Augustine, FL 32086-5953

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSW20968 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1992411334

Mark Sparks, LCSW's National Provider Identifier is 1992411334, issued on Jan 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 30, 2023.