JESSE SPARKS

WINTER PARK, FL
NPI1417180720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH9947)
Enumeration Date2009-09-02
Last Update Date2009-09-02
Business Address
Mr. JESSE SPARKS L.M.H.C.
1345 CLAY ST
WINTER PARK, FL 32789-5404
Phone number: 407-325-5521
Mailing Address
Mr. JESSE SPARKS L.M.H.C.
1345 CLAY ST
WINTER PARK, FL 32789-5404
Phone number: 407-325-5521