JACOB SPARKS

EUREKA, MT
NPI1346534393
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MT  BBH-LMFT-LIC-12233)
Enumeration Date2011-06-07
Last Update Date2019-09-12
Business Address
JACOB SPARKS LMFT
77 TRAILS END RD
EUREKA, MT 59917
Phone number: 801-643-4846
Mailing Address
JACOB SPARKS LMFT
77 TRAILS END RD
EUREKA, MT 59917-9332
Phone number: 801-643-4846
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