Provider Demographics
NPI:1427413178
Name:SPRIGG, LAETITIA CAROLINE (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:LAETITIA
Middle Name:CAROLINE
Last Name:SPRIGG
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MOSS ROCK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-9632
Mailing Address - Country:US
Mailing Address - Phone:802-989-6287
Mailing Address - Fax:
Practice Address - Street 1:75 MOSS ROCK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:VT
Practice Address - Zip Code:05445-9632
Practice Address - Country:US
Practice Address - Phone:802-989-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-23
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0057682101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor