Spark Counseling LLC
NPI #1508582586 in Los Ranchos, New Mexico
Provider Information
- NPI Number
- 1508582586
- Entity Type
- Organization
- Organization Name
- Spark Counseling LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 12, 2022
- Last Updated
- Oct 12, 2022
Practice Location
- Address
- 6303 4TH ST NW STE 1
- City
- Los Ranchos
- State
- New Mexico
- ZIP Code
- 87107-5855
- Phone
- (505) 234-6166
Authorized Official
- Name
- MARISA MANCINI ROTHROCK, LPCC
- Title
- BUSINESS OWNER
- Phone
- (505) 321-0906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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