NPI 1003643552

Stephanie Sparks

Practitioner Peer Specialist Carlsbad, NM

Practice location

Address: 1900 Westridge Rd, Carlsbad, NM 88220-3550
Phone: (575) 725-5552
Fax: (575) 725-5552
Mailing address: PO Box 3141, Carlsbad, NM 88221-3141

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 1803 (NM)

Other Peer Specialist providers in New Mexico →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003643552
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2024
Record last updated: 23 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.