Individual
MR. JONATHAN GALE SPARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
675 TEXAS ST STE 3800, FAIRFIELD, CA 94533-6372
(707) 784-8374
Mailing address
275 BECK AVE, FAIRFIELD, CA 94533-6804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
LCS22050
CA
Other
Enumeration date
12/14/2006
Last updated
06/07/2023
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