Individual
JULISSA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
149 PASADENA AVE STE A, SOUTH PASADENA, CA 91030-3351
(323) 274-3065
Mailing address
815 COLORADO BLVD STE 300, LOS ANGELES, CA 90041-1744
(323) 543-2800
(323) 978-1263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2634
CA
101YP2500X
Professional Counselor
Primary
7942
CA
Other
Enumeration date
02/09/2017
Last updated
02/25/2021
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