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Individual
JACOB SPARKS
Active
Individual
JACOB SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8565462-3902
UT
106H00000X
Marriage & Family Therapist
BBH-LMFT-LIC-12233
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BBH-LMFT-LIC-12233
—
MT
Enumeration date
06/07/2011
Last updated
06/18/2026
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