JAIME SPARKS

OLYMPIA, WA
NPI1578042651
Former NameJAIME CARLSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60742749)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-09
Last Update Date2018-08-09
Business Address
JAIME SPARKS CDPT
2708 WESTMOOR CT SW
OLYMPIA, WA 98502-5754
Phone number: 360-943-8810
Mailing Address
JAIME SPARKS CDPT
271 E BALMORAL WAY
SHELTON, WA 98584-8598
Phone number: