SearchIdaho101YM0800X

Kathleen Sproles, LCSW

NPI 1497202238 · on the registry since 2016 · sole proprietor

Practice

Address
404 W Cameron Ave
Ste 101
Kellogg, ID 83837
Phone
(208) 215-1756
Fax
(208) 545-6958
Organisation at this address
Up The Draw Llc
Human Dynamics And Diagnostics Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-22

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 Idaho