Shaun Tara Sparkman in Port Angeles - Mental Health

Shaun Tara Sparkman - NPI 1467426684

Shaun Tara Sparkman is a Mental Health in Port Angeles, Washington. Shaun Tara Sparkman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Shaun Tara Sparkman is 1467426684. The last update date is 2007-07-08.

Shaun Tara Sparkman's current location address is 2882 Monroe Rd, Port Angeles, Washington. You can contact this provider via phone number 3604575414 and fax number 3604579505. The mailing address for Shaun Tara Sparkman is 2882 Monroe Rd, Port Angeles, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Shaun Tara Sparkman
Address 2882 Monroe Rd, Port Angeles, Washington
Phone Number 3604575414
Fax Number 3604579505
Sole Proprietor X
Credentials LMHC NCC R

NPI Number Detail

NPI Number 1467426684
Provider Enumeration Date 2006-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2882 Monroe Rd
City Port Angeles
State Washington (WA)
Post Code 98362
Phone Number 3604575414
Fax Number 3604579505

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LH00004713
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Shaun Tara Sparkman

What is the unique provider identifier assigned to Shaun Tara Sparkman?

The Shaun Tara Sparkman has been issued the NPI (National Provider Identifier) 1467426684 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Shaun Tara Sparkman located?

The Shaun Tara Sparkman is located at 2882 Monroe Rd, Port Angeles, WA 98362.

What is Shaun Tara Sparkman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shaun Tara Sparkman is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

On what date did the Shaun Tara Sparkman receive the assignment of its 1467426684 from the Centers for Medicare & Medicaid Services?

The Shaun Tara Sparkman was issued its 1467426684 by the Centers for Medicare & Medicaid Services on 2006-02-14.

As of what date were the details pertaining to Shaun Tara Sparkman last refreshed?

The information related to the Shaun Tara Sparkman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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