ALEXIS ELAYNE SPARKS

CARBONDALE, IL
NPI1376279943
Former NameALEXIS ELAYNE BARNETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180.014593)
Enumeration Date2022-07-26
Last Update Date2022-09-27
Business Address
ALEXIS ELAYNE SPARKS MA, LCPC
2311 S ILLINOIS AVE
CARBONDALE, IL 62903-5912
Phone number: 618-457-6703
Mailing Address
ALEXIS ELAYNE SPARKS MA, LCPC
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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