Individual
BETHANY CAROL SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 MED TECH PKWY STE 201, JOHNSON CITY, TN 37604-2365
(423) 302-3480
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6918
TN
Other
Enumeration date
01/19/2024
Last updated
07/03/2024
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