Individual
SALLY SPARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
9352 OAK AVE, WACONIA, MN 55387-9422
(952) 923-8001
Mailing address
1574 WOODLAWN CIR, WACONIA, MN 55387-1263
(507) 380-3603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303396
MN
101YM0800X
Mental Health Counselor
Primary
675
MN
Other
Enumeration date
06/07/2016
Last updated
07/21/2022
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