Spark Counseling Pllc

NPI #1922624931 in Lombard, Illinois

Provider Information

NPI Number: 1922624931
Entity Type: Organization
Organization Name: Spark Counseling Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 25, 2020
Last Updated: Jun 25, 2020

Practice Location

Address: 917 S MAIN ST
City: Lombard
State: Illinois
ZIP Code: 60148-3347
Phone: (630) 446-0306

Authorized Official

Name: JENNIFER TEWELL, LCPC, CADC
Title: OWNER
Phone: (630) 446-0306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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