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General NPI Number Information
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NPI Number | 1396123907
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Entity Type | Individual
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Provider Name | REBECCA SPENCER LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 725 W ALDER ST STE 10
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City | MISSOULA
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State | MT
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Zip | 59802-4099
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Country | US
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Telephone | 406-220-6435
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 CREEKSTONE DR APT 4
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City | MISSOULA
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State | MT
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Zip | 59808-9033
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Country | US
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Telephone | 406-220-6436
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4238
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BBH-LCSW-LIC-57350
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License Number State | MT
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