Avis Sparks
NPI #1942033238 in Brandon, Mississippi
Provider Information
- NPI Number
- 1942033238
- Entity Type
- Individual
- Name
- Avis Sparks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 22, 2024
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 613 MARQUETTE RD
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-3038
- Phone
- (601) 824-1692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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