Individual provider · Type 1 NPI
Mandy Kay Sproul, MAAT, LPC, ATR
Professional Counselor · Madrid, NM
NPI number
1194474700
Active
Practice location
1 Backroad
Madrid, NM 87010-9727
Other practice locations
- 555 S Camino Del Rio Ste C1-B, Durango, CO 81303-6826 · (970) 775-7061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC.00181015 (CO) |
Professional Counselor: Definition to come...
About NPI 1194474700
Mandy Kay Sproul, MAAT, LPC, ATR's National Provider Identifier is 1194474700, issued on Mar 21, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madrid, NM. The record was last updated on Feb 23, 2024.