Individual
RUTH SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
9002 161ST ST, JAMAICA, NY 11432-6108
(718) 520-1513
(718) 520-6460
Mailing address
1401 NEW YORK AVE, BROOKLYN, NY 11210-1762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17721
NY
Other
Enumeration date
07/22/2008
Last updated
08/01/2024
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