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NPI Code Detail

MEDICARE: STEPHEN ALEX SPIRES LPC

MEDICARE: STEPHEN ALEX SPIRES LPC
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
1101YP2500XProfessional Counselor0701011022VA

General Provider Information

NPI Number : 1225798242
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN ALEX SPIRES LPC
Provider Business Mailing Address
First Line : 120 W COMMERCE ST
Second Line :
City : AMHERST
State : VA
Zip : 24521-1115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 W COMMERCE ST
Second Line :
City : AMHERST
State : VA
Zip : 24521-1115
Country : US
Telephone Number : 434-948-4831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2021
Last Update Date : 12/20/2021

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Directions to “ STEPHEN ALEX SPIRES LPC” Practice Location

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