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Organization
SPARKS COUNSELING SERVICES, LLC
Active
Organization
SPARKS COUNSELING SERVICES, LLC
Active
Other names
Sparks Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SPARKS CAGS, LMHC (OWNER)
(508) 963-9526
Entity
Organization
Contact information
Practice address
101 MECHANIC ST, GARDNER, MA 01440-3119
(508) 963-9526
Mailing address
12 FERN ST, BALDWINVILLE, MA 01436-1354
(508) 963-9526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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