| Doctor Name: | MS. JILL JANAY SPRAGUE |
| NPI Number: | 1407984966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LCPC |
| License Number: | 3234 |
| Business Practice Address: | 113 N Commercial Emmett, ID - 83617 |
| Business Phone Number: | 2083988473 |
| Business Fax Number: | 2083988311 |
| Mailing Address: | 2530 S Substation Rd, EMMETT |
| State: | ID |
| Postal Code: | 83617 |
| Phone Number: | 2083651269 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |