Individual provider · Type 1 NPI

Jesse Ryan Sprouse

Addiction (Substance Use Disorder) Counselor · Kettering, OH

NPI number 1386499184 Active

Practice location

1324 Willowdale Ave
Kettering, OH 45429-5148

Call (937) 361-9391 Map

Fax (937) 918-7161

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386499184

Jesse Ryan Sprouse's National Provider Identifier is 1386499184, issued on Apr 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kettering, OH. The record was last updated on Apr 23, 2024.