Individual
ASHLEY KRISTIN SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1005
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000
—
CA
Enumeration date
05/22/2018
Last updated
05/22/2018
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