Individual provider · Type 1 NPI
Dejah M. Sprouse, LPC
Mental Health Counselor · Lakewood, OH
NPI number
1326669086
Active
Practice location
1295 Idlewood Ave
Lakewood, OH 44107-2901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | C.2304859 (OH) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1326669086
Dejah M. Sprouse, LPC's National Provider Identifier is 1326669086, issued on May 4, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, OH. The record was last updated on Feb 21, 2023.