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Individual

JASON ALLAN SPRAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
1205 FOXGLOVE DR, BATAVIA, IL 60510-2804
(630) 248-0616
Mailing address
1205 FOXGLOVE DR, BATAVIA, IL 60510-2804
(630) 248-0616

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011213
IL

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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