Individual
MR. JAMES MATTHEW SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4812 MILLWOOD DR, BATON ROUGE, LA 70817-1208
(225) 921-6781
Mailing address
4812 MILLWOOD DR, BATON ROUGE, LA 70817-1208
(225) 921-6781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2645
LA
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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