Individual
MS. PATRICIA OLIVER SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
301 N SECOND ST, MEBANE, NC 27302-2401
(919) 923-6777
Mailing address
1606 W LAKEWOOD AVE, DURHAM, NC 27707-1129
(919) 923-6777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140NE
BCBSNC
NC
01
—
186049
MEDCOST
NC
05
—
6102658
—
NC
Enumeration date
05/08/2006
Last updated
07/08/2007
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