LIBBY SPARKS CADC-I
NPI 1134526734
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR
Active since November 25, 2014
About Libby Sparks Cadc-i NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBBY SPARKS CADC-I (NPI 1134526734) is an individual addiction (substance use disorder) provider in Roseburg, Oregon, licensed in Oregon (01-03-31) and active in the NPI registry since November 2014.
NPPES Registry Identity
NPI1134526734
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLIBBY SPARKSCredential: CADC-I
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 671-0622
Sole ProprietorYes
Enumeration DateNovember 25, 2014
Last NPPES UpdateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1134526734 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 01-03-31
Also ListedPeer SpecialistTaxonomy 175T00000X
621 W MADRONE ST, Roseburg, OR 97470
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Women's Health)
621 W MADRONE ST, SUITE 223
ROSEBURG, OR 97470
ROSEBURG, OR 97470
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134526734, enumerated as an "individual" on November 25, 2014.
The provider is located at 621 W MADRONE ST ROSEBURG, OR 97470 and the phone number is (541) 671-0622.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).