Provider Demographics
NPI:1821240623
Name:SPRINKLE, EMOKE (LPC)
Entity Type:Individual
Prefix:
First Name:EMOKE
Middle Name:
Last Name:SPRINKLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7633
Mailing Address - Country:US
Mailing Address - Phone:541-690-6706
Mailing Address - Fax:
Practice Address - Street 1:2000 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7633
Practice Address - Country:US
Practice Address - Phone:541-690-6706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004386101YP2500X
ORC2939101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR101Y00000XMedicaid
OR101Y00000XOtherINSURANCE
101Y00000XMedicare UPIN
OR101Y00000XMedicaid