JENNIFER MICHELLE SPARKS

COSTA MESA, CA
NPI1407176944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-06-07
Last Update Date2011-06-14
Business Address
JENNIFER MICHELLE SPARKS
611 SHASTA LANE SUITE 100
COSTA MESA, CA 92626
Phone number: 714-803-9181
Mailing Address
JENNIFER MICHELLE SPARKS
611 SHASTA LANE SUITE 100
COSTA MESA, CA 92626
Phone number: 714-803-9181
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