| Jacquelyn Irene Sprouse, | |
|
217 Emmitt Ave, Waverly, OH 45690 | |
| (740) 649-2222 | |
| Not Available |
| Full Name | Jacquelyn Irene Sprouse |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 217 Emmitt Ave, Waverly, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518513415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Irene Sprouse, 1500 Blue Lick Rd, Londonderry, OH 45647-9741 Ph: (740) 649-2222 | Jacquelyn Irene Sprouse, 217 Emmitt Ave, Waverly, OH 45690 Ph: (740) 649-2222 |
David William Laverick Jr., CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-912-9126 Fax: 740-912-9126 | |
Evan Ray Brown I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-912-9126 | |
Kori Olivia Rayann Lavey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 E North St, Waverly, OH 45690 Phone: 740-947-6727 | |
Paul Richard Coyle, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-912-9126 | |
Jacob Wade Howard, CMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14574 Us Highway 23, Waverly, OH 45690 Phone: 740-708-2967 | |
Rene Nicole Sommers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 E Emmitt Ave, Waverly, OH 45690 Phone: 740-912-9499 | |
Brent J Wing, CT,CDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Dawn Ln, Waverly, OH 45690 Phone: 740-947-7783 |