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General NPI Number Information
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NPI Number | 1699547448
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Entity Type | Organization
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Legal Business Name | SPENCE COUNSELING PLLC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 713 N EUGENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1621
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Country | US
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Telephone | 336-496-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 713 N EUGENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1621
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Country | US
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Telephone | 336-496-2838
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | JESSICA SPENCE
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Credential | LCMHCS
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Telephone | 856-285-4961
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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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