Tyler J. Sparks, LPC, NCC
Counselor, Professional in Saint Louis, MO. Individual provider (NPI-1).
NPI number1609024793
StatusActive
Last updated in NPPESNov 2, 2011
Details
- NPI
- 1609024793
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyler J. Sparks
- Credential
- LPC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2008
- Last updated
- Nov 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
12166 Old Big Bend RdSuite 307
Saint Louis, MO 63122-6844
Phone 314-971-9512 · Fax 888-909-9204
Mailing address
12166 Old Big Bend RdSuite 307
Saint Louis, MO 63122-6844
Phone 314-971-9512 · Fax 888-909-9204
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