Individual
BRYCE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 HARRISBURG PIKE, COLUMBUS, OH 43223-2525
(614) 276-4840
Mailing address
825 DENNISON AVE, COLUMBUS, OH 43215-1315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.191748
OH
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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