Individual
JANET SUSAN SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1301 PETERS CREEK RD NW, ROANOKE, VA 24017
(540) 904-6799
(540) 904-6369
Mailing address
2694 SUMMIT RIDGE RD, ROANOKE, VA 24012-6933
(540) 977-1286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003325
VA
Other
Enumeration date
09/27/2006
Last updated
08/12/2019
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