Mandy Kay Sproul, MAAT, LPC, ATR
Counselor, Professional in Madrid, NM. Individual provider (NPI-1).
NPI number1194474700
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1194474700
- Entity type
- Individual (NPI-1)
- Name
- Mandy Kay Sproul
- Credential
- MAAT, LPC, ATR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2022
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC.00181015 | CO | Yes |
Practice location
1 BackroadMadrid, NM 87010-9727
Phone 515-996-0278
Mailing address
1 BackroadMadrid, NM 87010-9727
Phone 515-996-0278
Other practice locations
555 S Camino Del Rio Ste C1-B
Durango, CO 81303-6826
Durango, CO 81303-6826
Phone 970-775-7061
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