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NPI Code Detail

MEDICARE: MS. JAMIE NICOLE SPENCER LAC, LCSW

MEDICARE: MS. JAMIE NICOLE SPENCER LAC, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor4141MT
21041C0700XClinical Social Worker88447MT

General Provider Information

NPI Number : 1164829917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMIE NICOLE SPENCER LAC, LCSW
Provider Business Mailing Address
First Line : 123 S 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-4227
Country : US
Telephone Number : 406-247-3350
Fax Number : 406-247-3389
Provider Business Practice Location Address
First Line : 123 S 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-4227
Country : US
Telephone Number : 406-247-3350
Fax Number : 406-247-3389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2014
Last Update Date : 05/05/2026

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