Sparks, Julissa

Sparks, Julissa is an individual health care provider with primary practice located at 149 Pasadena Ave Ste A , South Pasadena CA 91030-3351. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sparks, Julissa can be contacted via phone (323) 274-3065.

Contact Information

Primary practice address
149 Pasadena Ave Ste A South Pasadena CA 91030-3351
Phone: (323) 274-3065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2634 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 7942 California

Profile Details

NPI number 1437697539
LBN Legal business name Sparks, Julissa
Credentials LPCC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2017
Last updated Feb 25th, 2021 - about 3 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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