Individual
MS. REBECCA KYDD SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2 CHURCH ST, SUITE 2D, BURLINGTON, VT 05401-4299
(802) 658-9590
Mailing address
2 CHURCH ST, SUITE 2D, BURLINGTON, VT 05401-4299
(802) 658-9590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011661
—
VT
01
—
5103
BCBS
VT
Enumeration date
11/11/2006
Last updated
07/08/2007
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