Provider Demographics
NPI:1881985315
Name:SPERRY, JOHN D (MA, LCMHC, LCAS, C)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:D
Last Name:SPERRY
Suffix:
Gender:M
Credentials:MA, LCMHC, LCAS, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 ECHO MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-8608
Mailing Address - Country:US
Mailing Address - Phone:828-338-9901
Mailing Address - Fax:828-505-5554
Practice Address - Street 1:59 HAYWOOD ST STE 5
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2834
Practice Address - Country:US
Practice Address - Phone:828-295-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-25452101YA0400X
NC9722101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)