Individual
KATHLEEN SPROLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 W CAMERON AVE, STE 101, KELLOGG, ID 83837-2111
(208) 215-1756
(208) 545-6958
Mailing address
404 W CAMERON AVE STE 101, KELLOGG, ID 83837-2111
(208) 215-1756
(208) 545-6958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-38419
ID
Other
Enumeration date
09/09/2016
Last updated
11/22/2023
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