Individual
COURTNEY SPARKUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25422 TRABUCO RD STE 105-302, LAKE FOREST, CA 92630-2791
(949) 329-4616
Mailing address
25422 TRABUCO RD STE 105-302, LAKE FOREST, CA 92630-2791
(949) 329-4616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
83219
CA
Other
Enumeration date
01/18/2012
Last updated
04/08/2022
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