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General NPI Number Information
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NPI Number | 1548882400
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Entity Type | Organization
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Legal Business Name | SPARKPOINT COUNSELING AND CONSULTING SERVICES, PLLC
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 501 E PLAZA CIR STE 5
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4909
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Country | US
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Telephone | 623-252-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 501 E PLAZA CIR STE 5
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4909
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Country | US
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Telephone | 623-252-0862
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | MICAELA WAMBOLDT
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Credential | LPC
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Telephone | 623-252-0862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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