NATHAN SPARKS

VALENCIA, CA
NPI1780172668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-04-26
Last Update Date2018-06-16
Business Address
Mr. NATHAN SPARKS CAODCI # 7035
24762 MASTERS CUP WAY
VALENCIA, CA 91355
Phone number: 661-932-0012
Mailing Address
Mr. NATHAN SPARKS CAODCI # 7035
24625 ARCH ST
NEWHALL, CA 91321-1111
Phone number: 661-288-2644
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