SearchOhio101YM0800X

Dejah Sprouse, LPC

NPI 1326669086 · on the registry since 2020 · sole proprietor

Practice

Address
1295 Idlewood Ave
Lakewood, OH 44107
Phone
(440) 420-9584

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
172V00000X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio