Individual
MAGGIE DIANE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A,
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
(314) 206-3708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2009032464
MO
101YP2500X
Professional Counselor
2009032464
MO
Other
Enumeration date
06/02/2008
Last updated
02/09/2026
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