Individual
KIMBERLY DAWN SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 THE HARLOW ROAD, THOMPSON FALLS, MT 59873
(406) 546-8151
Mailing address
PO BOX 14, THOMPSON FALLS, MT 59873-0014
(406) 546-8151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-25712
MT
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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