Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB SPARKS, LMFT
Active Sole ProprietorMarriage & Family Therapist · EUREKA, MT
Registration Details
- NPI Number
- 1346534393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2011 (14.88748224408 yrs)
- Last Updated
- Sep 12, 2019
- License
-
BBH-LMFT-LIC-12233 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 TRAILS END RDEUREKA, MT, 59917Browse MT providers · Browse ZIP 59917
- Phone
- 8016434846
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.