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General NPI Number Information
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NPI Number | 1982921417
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Entity Type | Individual
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Provider Name | JACOB FELIX SPENCER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 326 I ST # 108
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City | EUREKA
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State | CA
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Zip | 95501-0522
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Country | US
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Telephone | 530-310-7818
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Fax |
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Provider Business Mailing Address
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Address Line | 326 I ST # 108
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City | EUREKA
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State | CA
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Zip | 95501-0522
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Country | US
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Telephone | 530-310-7818
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY27901
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License Number State | CA
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