| Shannon Sparks, | |
|
36 N Detroit St, Xenia, OH 45385-2909 | |
| (937) 610-4673 | |
| (937) 736-2615 |
| Full Name | Shannon Sparks |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 36 N Detroit St, Xenia, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255092102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.178872 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Sparks, 3103 Dixie Hwy, Hamilton, OH 45015-1653 Ph: (513) 892-4673 | Shannon Sparks, 36 N Detroit St, Xenia, OH 45385-2909 Ph: (937) 610-4673 |
Nikita Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 | |
Nikia Tamara Johnson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 996 N Monroe Ct, Xenia, OH 45385 Phone: 937-708-8348 | |
Robert A Leveck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-532-9306 | |
Alan Jefferis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Richard Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-0184 | |
Jillian Vincent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Linda Mortensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 282 Stelton Rd, Xenia, OH 45385 Phone: 937-708-8348 |