Individual
MR. DOUGLAS EDWARD SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTERS IN SOCIAL WO
Contact information
Practice address
3805 OAKLAND AVENUE, SUITE 102F, SAINT JOSEPH, MO 64506
(816) 671-9604
(816) 364-2158
Mailing address
3805 OAKLAND AVENUE, SUITE 102F, SAINT JOSEPH, MO 64506
(816) 671-9604
(816) 364-2158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
365
MO
1041C0700X
Clinical Social Worker
001033
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19706028
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/17/2007
Last updated
09/11/2025
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