Individual
MR. BRIAN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5594 AISEK STREET, JUNEAU, AK 99801
(907) 780-3048
(907) 780-6083
Mailing address
5597 AISEK ST, JUNEAU, AK 99801-9522
(907) 780-3044
(907) 780-6083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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