Individual provider · Type 1 NPI
Mary Ann Sprouse, LCSW
Mental Health Counselor · Springfield, VA
NPI number
1316182876
Active
Practice location
8440 Old Keene Mill Rd
Springfield, VA 22152-2302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0904007003 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1316182876
Mary Ann Sprouse, LCSW's National Provider Identifier is 1316182876, issued on Dec 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, VA. The record was last updated on Jun 3, 2021.