Genna Marie Sparks

Counselor in La Plata, MD. Individual provider (NPI-1).

NPI number1750688982

StatusActive

Last updated in NPPESFeb 24, 2011

Details

NPI: 1750688982
Entity type: Individual (NPI-1)
Name: Genna Marie Sparks
Sex: Female
Sole proprietor: No
Enumeration date: Feb 24, 2011
Last updated: Feb 24, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101Y00000X	Counselor	â€“	â€“	Yes

Practice location

6100 Radio Station Road
La Plata, MD 20646-2924

Phone 301-609-9887 Â· Fax 301-609-9091

Mailing address

6100 Radio Station Road
La Plata, MD 20646-2924

Phone 301-609-9887 Â· Fax 301-609-9091

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