Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0701004598 | VA |
NPI | 1003041369 |
---|---|
Provider Name | Joy J Sprenkle |
First Address | Virginia Beach, VA 23452-7803 |
Second Address | Virginia Beach, VA 23452-7803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 15/05/2009 |