Audwin Sprouse Sr, | |
8900 Delta Bluff Cv, Walls, MS 38680-4400 | |
(662) 510-4660 | |
Not Available |
Full Name | Audwin Sprouse Sr |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 8900 Delta Bluff Cv, Walls, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801492426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Audwin Sprouse Sr, 8900 Delta Bluff Cv, Walls, MS 38680-4400 Ph: (662) 510-4660 | Audwin Sprouse Sr, 8900 Delta Bluff Cv, Walls, MS 38680-4400 Ph: (662) 510-4660 |
Keneysha Jamison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Delta Bluff Cv, Walls, MS 38680 Phone: 662-510-4660 Fax: 662-781-0690 | |
Alicia Nicole Danley, MSW, PCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Delta Bluff Cv, Walls, MS 38680 Phone: 662-510-4660 Fax: 662-781-0690 | |
Rosalind House, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Delta Bluff Cv, Walls, MS 38680 Phone: 662-510-4660 | |
Kenyia Noble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Delta Bluff Cv, Walls, MS 38680 Phone: 662-510-4660 Fax: 662-781-0690 | |
Ishita Pareek, MS, NCC, PCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Delta Bluff Cv, Walls, MS 38680 Phone: 662-510-4660 | |
Melinda Bell, MAHSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Delta Bluff Cove, Walls, MS 38680 Phone: 662-510-4600 |