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NPI Code Detail

MEDICARE: MRS. YANNA R SPARKS

MEDICARE: MRS. YANNA R SPARKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRS7303CA
2101YM0800XMental Health Counselor
3101YA0400XAddiction (Substance Use Disorder) Counselor192683OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124238357
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YANNA R SPARKS
Provider Business Mailing Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number :
Provider Business Practice Location Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 06/12/2025

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Directions to “ MRS. YANNA R SPARKS ” Practice Location

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