Organization
SPARK COUNSELING LLC
Active
Other names
Spark Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA MANCINI ROTHROCK LPCC (BUSINESS OWNER)
(505) 321-0906
Entity
Organization
Contact information
Practice address
6303 4TH ST NW STE 1, LOS RANCHOS, NM 87107-5855
(505) 234-6166
Mailing address
1814 DON FELIPE RD SW, ALBUQUERQUE, NM 87105-6654
(505) 321-0906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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