RICKEY JOE SPARKS

BROKEN ARROW, OK
NPI1184935280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  1588)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  391)
Enumeration Date2010-06-23
Last Update Date2010-06-23
Business Address
-- RICKEY JOE SPARKS PhD
904 W SOUTH PARK BLVD
BROKEN ARROW, OK 74011-2042
Phone number: 918-455-2714
Mailing Address
-- RICKEY JOE SPARKS PhD
904 W SOUTH PARK BLVD
BROKEN ARROW, OK 74011-2042
Phone number: 918-455-2714