National Provider Identifier
Loretta A. Sprague, CASAC
Loretta A. Sprague, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Canandaigua, NY and a listed phone number of (585) 396-4190.
Profile Overview
- NPI
- 1679651897
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- November 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3019 County Complex Dr
- Canandaigua, NY 14424-9505
Phone: (585) 396-4190
Mailing Address
- 3149 E Cedarbush Dr
- Canandaigua, NY 14424-1700
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1679651897
- Entity Type
- Individual
- Last Name
- Sprague
- First Name
- Loretta
- Middle Name
- A.
- Credential
- CASAC
- Mailing Street Address
- 3149 E Cedarbush Dr
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1700
- Mailing Country
- US
- Mailing Phone
- (585) 393-0383
- Practice Street Address
- 3019 County Complex Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9505
- Practice Country
- US
- Practice Phone
- (585) 396-4190
- Practice Fax
- (585) 393-2916
- Enumeration Date
- November 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)