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General NPI Number Information
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NPI Number | 1619005162
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Entity Type | Organization
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Legal Business Name | SPENCER COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | SPENCER COUNSELING SERVICES, INC. 6500 ROCKSHIRE DR.
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City | CHARLOTTE
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State | NC
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Zip | 28227-8059
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Country | US
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Telephone | 704-451-8769
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Fax | 704-567-0189
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Provider Business Mailing Address
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Address Line | SPENCER COUNSELING SERVICES, INC. P.O. BOX 43644
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City | CHARLOTTE
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State | NC
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Zip | 28215-0042
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Country | US
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Telephone | 704-451-8769
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Fax | 704-567-0189
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | MS. ERNESTINE SPENCER
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Credential | LPC
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Telephone | 704-451-8769
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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 | 5042
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License Number State | NC
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