Rickey Joe Sparks, PHD

NPI #1184935280 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1184935280
Entity Type: Individual
Name: Rickey Joe Sparks, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: PHD
Enumeration Date: Jun 23, 2010
Last Updated: Jun 23, 2010

Practice Location

Address: 904 W SOUTH PARK BLVD
City: Broken Arrow
State: Oklahoma
ZIP Code: 74011-2042
Phone: (918) 455-2714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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