Most Relevant Information
Provider Data
| NPI Number: | 1003641945 |
| Provider Name: | SUSAN SPARKS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 86834 |
Most Important Dates
| Enumeration Date: | 09/02/2024 |
| Last Updated: | 09/02/2024 |
Provider Practice Location
1701 ROGERS RD APT 328
FORT WORTH
TX
761076593
Practice Location Phone/Fax
| Phone: | 8174223081 |
| Fax: |
Provider Mailing Location
1701 ROGERS RD APT 328
FORT WORTH
TX
761076593
Provider Mailing Phone/Fax
| Phone: | 8174223081 |
| Fax: |