Jacquelyn Irene Sprouse
Jacquelyn Irene Sprouse is an Addiction (Substance Use Disorder) Counselor in Waverly, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
217 Emmitt AveWaverly, OH 45690
Phone: (740) 649-2222
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1518513415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2019 |
| Last updated in NPPES | August 15, 2019 |
| Mailing address | 1500 Blue Lick Rd, Londonderry, OH 45647-9741 |
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