Individual
MICHELLE NICOLE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 LEE ST, BECKLEY, WV 25801-6037
(304) 860-3342
Mailing address
115 LEE ST, BECKLEY, WV 25801-6037
(304) 860-3342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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