Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | LH00009042 | WA |
Y | 101YP2500X | Professional Counselor | CP0006 | NV |
NPI | 1003136995 |
---|---|
Provider Name | Ms. Elen Michele Sprole |
First Address | Henderson, NV 89044-0250 |
Second Address | Henderson, NV 89044-0250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 03/06/2010 |