Provider Demographics
NPI:1760604722
Name:SPRATTE, JANICE L (LMHC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:SPRATTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 16TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-3570
Mailing Address - Country:US
Mailing Address - Phone:505-892-0220
Mailing Address - Fax:
Practice Address - Street 1:2520 VIRGINIA ST NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4689
Practice Address - Country:US
Practice Address - Phone:505-296-4449
Practice Address - Fax:505-296-0497
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM006057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health