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Individual
LIBBY SPARKS
Active
Individual
LIBBY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01-03-31
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/25/2014
Last updated
09/07/2022
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