Sparks, Jacob

Sparks, Jacob is an sole proprietor health care provider with primary practice located at 77 Trails End Rd , Eureka MT 59917. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Sparks, Jacob can be contacted via phone (801) 643-4846.

Contact Information

Primary practice address
77 Trails End Rd Eureka MT 59917
Phone: (801) 643-4846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X BBH-LMFT-LIC-12233 Montana

Profile Details

NPI number 1346534393
LBN Legal business name Sparks, Jacob
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2011
Last updated Sep 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346534393 NPPES
Montana MEDICAID BBH-LMFT-LIC-12233

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