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General NPI Number Information
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NPI Number | 1467928911
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE SPENCER LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 18752 CAMINITO CANTILENA UNIT 173
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City | SAN DIEGO
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State | CA
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Zip | 92128-1049
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Country | US
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Telephone | 858-699-1844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 503852
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City | SAN DIEGO
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State | CA
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Zip | 92150-3852
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Country | US
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Telephone | 619-984-1466
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16637
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License Number State | CA
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