Individual
MRS. KENDALL R SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
281 INDEPENDENCE BLVD, #326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
Mailing address
2105 PATESHALL CT, VIRGINIA BEACH, VA 23464-1560
(757) 373-9288
(757) 497-1327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005862
VA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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