Provider Demographics
NPI:1467088930
Name:SPARBER, JAIME M (LMHC, MHP, SUD)
Entity type:Individual
Prefix:MISS
First Name:JAIME
Middle Name:M
Last Name:SPARBER
Suffix:
Gender:F
Credentials:LMHC, MHP, SUD
Other - Prefix:MISS
Other - First Name:JAIME
Other - Middle Name:M
Other - Last Name:SPARBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, MHP, SUD
Mailing Address - Street 1:611 N IRON BRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4932
Mailing Address - Country:US
Mailing Address - Phone:509-608-6109
Mailing Address - Fax:
Practice Address - Street 1:1001 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4503
Practice Address - Country:US
Practice Address - Phone:509-444-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH6148397101YM0800X
WACO61042206101YA0400X
101YM0800X
WAMC61193971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)