Provider Demographics
NPI:1306025788
Name:FLORES-SPARKMAN, PAOLA LIZZETH (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:PAOLA
Middle Name:LIZZETH
Last Name:FLORES-SPARKMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 NW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-1810
Mailing Address - Country:US
Mailing Address - Phone:405-528-7721
Mailing Address - Fax:405-528-7731
Practice Address - Street 1:616 NW 21ST ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1810
Practice Address - Country:US
Practice Address - Phone:405-528-7721
Practice Address - Fax:405-528-7731
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor