# DR. ELIJAH SPRAGUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124546866
- **Gender:** Man
- **Credential:** LICDC, LPCC-S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | C.1500918 | OH | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LICDC.161479 | OH | — |
| 101YM0800X | Mental Health Counselor | LE-00042117 | OH | Yes |
| 101YP2500X | Professional Counselor | E.2102241 | OH | — |

## Other

- **Enumeration date:** 09/01/2017
- **Last updated:** 09/03/2024