person
Derrick Sprouse
Addiction (Substance Use Disorder) Counselor in Santa Monica, California
NPI 1336683895

Derrick Sprouse is an Addiction (Substance Use Disorder) Counselor based in Santa Monica, CA and is specialized in Addiction (Substance Use Disorder). Derrick Sprouse practices in Santa Monica, CA. The NPI Number for Derrick Sprouse is 1336683895 and holds a License No. C033040315 (California).

The current practice location address for Derrick Sprouse is 905 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-314-6200.

Location: 905 Pico Blvd, Santa Monica, CA, 90405-1326
person
Provider Profile Details
NPI Number
1336683895
Provider Name
Derrick Sprouse
Credential
Provider Entity Type
Individual
Gender
Male
Address
905 Pico Blvd, Santa Monica, CA, 90405-1326
Phone Number
310-314-6200
Fax Number
Provider Enumeration Date
12/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
905 Pico Blvd
City
State
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider Business Mailing Address Details
Address
905 Pico Blvd
City
State
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C033040315 (California)
Definition
Definition to come...
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