Sparks, Libby

Sparks, Libby is an sole proprietor health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Sparks, Libby can be contacted via phone (541) 671-0622.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 671-0622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 01-03-31 Oregon

Profile Details

NPI number 1134526734
LBN Legal business name Sparks, Libby
Credentials CADC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2014
Last updated Sep 7th, 2022 - about 3 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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