Individual
JADA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162871
OH
104100000X
Social Worker
S.2512615
OH
Other
Enumeration date
12/22/2022
Last updated
07/25/2025
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