Mr. Jesse Ryan Sprouse
Mr. Jesse Ryan Sprouse is an Addiction (Substance Use Disorder) Counselor in Kettering, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1324 Willowdale AveKettering, OH 45429-5148
Phone: (937) 361-9391
Fax: (937) 918-7161
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1386499184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 11, 2024 |
| Mailing address | 1324 Willowdale Ave, Kettering, OH 45429-5148 |
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