Individual
JILL JANAY SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
829B S WASHINGTON AVE, EMMETT, ID 83617-3528
(208) 365-3141
(208) 398-8311
Mailing address
2530 S SUBSTATION RD, EMMETT, ID 83617
(208) 739-0864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3234
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010035506
BLUE SHIELD OF IDAHO
ID
05
—
807062700
—
ID
01
—
Q5886
BLUE CROSS OF IDAHO
ID
Enumeration date
02/28/2007
Last updated
06/14/2023
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