Individual
JAMIE SPARROWGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4516 E APRICOT LN, GILBERT, AZ 85298-8347
(480) 286-0621
Mailing address
4516 E APRICOT LN, GILBERT, AZ 85298-8347
(480) 286-0621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21524
AZ
101YP2500X
Professional Counselor
LPC-21524
AZ
Other
Enumeration date
11/04/2022
Last updated
05/31/2024
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