Individual
COURTNEY LORRAINE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW, CADC
Contact information
Practice address
301 E GENESEE AVE FL 3, SAGINAW, MI 48607-1242
(989) 776-6000
Mailing address
301 E GENESEE AVE FL 3, SAGINAW, MI 48607-1242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117683
MI
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/07/2019
Last updated
02/24/2026
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