Sparks, Jeanine B

Sparks, Jeanine B is an sole proprietor health care provider with primary practice located at 491 N Knik St , Wasilla AK 99654-7049. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sparks, Jeanine B can be contacted via phone (907) 727-8103.

Contact Information

Primary practice address
491 N Knik St Wasilla AK 99654-7049
Phone: (907) 727-8103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 512 Alaska

Profile Details

NPI number 1104063056
LBN Legal business name Sparks, Jeanine B
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2009
Last updated Jan 14th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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