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Organization
SPARK COUNSELING LLC
Active
Organization
SPARK COUNSELING LLC
Active
Other names
Spark Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA MANCINI ROTHROCK LPCC (BUSINESS OWNER)
(505) 321-0906
Entity
Organization
Contact information
Practice address
6303 4TH ST NW STE 1, LOS RANCHOS, NM 87107-5855
(505) 234-6166
Mailing address
1814 DON FELIPE RD SW, ALBUQUERQUE, NM 87105-6654
(505) 321-0906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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