Baltimore Sparks, LCDC
Baltimore Sparks, LCDC is an Addiction (Substance Use Disorder) Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2024
Practice location Address checks out
571 Spencer LnSan Antonio, TX 78201-2030
Phone: (210) 736-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 17012 (TX) |
|---|
Record details
| NPI number | 1932944873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDC |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2024 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
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