Provider Demographics
NPI:1962231837
Name:SPRAGG, DAVID THOMPSON (MPS, LPCC, LADC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:THOMPSON
Last Name:SPRAGG
Suffix:
Gender:M
Credentials:MPS, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7890 N SAINT MARYS DR
Mailing Address - Street 2:
Mailing Address - City:EVELETH
Mailing Address - State:MN
Mailing Address - Zip Code:55734-4054
Mailing Address - Country:US
Mailing Address - Phone:218-410-5031
Mailing Address - Fax:
Practice Address - Street 1:623 13TH ST S
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-3141
Practice Address - Country:US
Practice Address - Phone:218-749-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC04474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health