Individual
BROOKE SPRADLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
114 E COLUMBIA ST, FARMINGTON, MO 63640-3103
(573) 979-3676
Mailing address
114 E COLUMBIA ST STE B11, FARMINGTON, MO 63640-3103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2015039157
MO
101YP2500X
Professional Counselor
Primary
2015039157
MO
Other
Enumeration date
07/14/2016
Last updated
09/24/2019
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