Individual
EKATERINA SPRENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W BETHANY LN, CHINO VALLEY, AZ 86323-5573
(812) 217-6112
Mailing address
1350 W BETHANY LN, CHINO VALLEY, AZ 86323-5573
(928) 800-9693
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
11316447
AZ
385HR2055X
Child Mental Illness Respite Care
11316447
AZ
385HR2055X
Child Mental Illness Respite Care
11316477
AZ
Other
Enumeration date
06/26/2021
Last updated
05/08/2023
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