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

Shannon Sparks

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255092102

Shannon Sparks is an Addiction (Substance Use Disorder) Counselor in Xenia, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

36 N Detroit St
Xenia, OH 45385-2909
Phone: (937) 610-4673
Fax: (937) 736-2615
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.178872

Record details

NPI number1255092102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing address3103 Dixie Hwy, Hamilton, OH 45015-1653

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