Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coty Marie Sparks

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043058985

Coty Marie Sparks is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1750 5th Ave
San Diego, CA 92101-2754
Phone: (619) 515-2588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 823 Gateway Center Way, San Diego, CA 92102-4541 — (619) 515-2300

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1538401123 (CA)

Record details

NPI number1043058985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

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