Individual
ANDY SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 ASCOT DR STE D, ROSEVILLE, CA 95661-3400
(916) 786-3750
Mailing address
514 1/2 GROVE ST, ROSEVILLE, CA 95678-1423
(602) 579-2096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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