BRIAN SPARKS

JUNEAU, AK
NPI1215795455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
Mr. BRIAN SPARKS
5594 AISEK STREET
JUNEAU, AK 99801
Phone number: 907-780-3048
Mailing Address
Mr. BRIAN SPARKS
5597 AISEK ST
JUNEAU, AK 99801-9522
Phone number: 907-780-3044
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