Individual
ANDREA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W BIG BEAVER RD STE 200, TROY, MI 48084-5283
(586) 242-0205
Mailing address
38713 GAINSBOROUGH CT, CLINTON TOWNSHIP, MI 48038-3249
(586) 242-0205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
10/22/2014
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