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General NPI Number Information
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NPI Number | 1255240768
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Entity Type | Organization
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Legal Business Name | SAMANTHA SPENCER, MA, PLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 277 WILDFLOWER CIR
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City | WILLISTON
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State | VT
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Zip | 05495-9391
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Country | US
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Telephone | 860-463-8131
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Fax |
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Provider Business Mailing Address
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Address Line | 277 WILDFLOWER CIR
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City | WILLISTON
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State | VT
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Zip | 05495-9391
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Country | US
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Telephone | 860-463-8131
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | SAMANTHA SPENCER
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Credential | LCMHC
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Telephone | 860-463-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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