| NPI | 1508582586 |
|---|---|
| Doing Business As | SPARK COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | MARISA MANCINI ROTHROCK Business Owner 505-321-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |