Doctor Name: | MS. ELEN MICHELE SPROLE |
NPI Number: | 1003136995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LH00009042 |
Business Practice Address: | 2852 Kinknockie Way Henderson, NV - 890440250 |
Business Phone Number: | 7024993456 |
Business Fax Number: | |
Mailing Address: | 2852 Kinknockie Way, HENDERSON |
State: | NV |
Postal Code: | 890440250 |
Phone Number: | 7024993456 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2010 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00009042 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |