MEDICARE: CHERYL SPENCE

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	151077	OH
2	101YP2500X	Professional Counselor	1400606	OH

General Provider Information

NPI Number	:	1528418241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL SPENCE

Provider Business Mailing Address
First Line	:	PO BOX 724
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-0724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12896 GREY ST
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-9638
Country	:	US
Telephone Number	:	740-592-6720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2016
Last Update Date	:	06/14/2016

Similar Medicare Providers

1972438992 — MELODY DAWN SPICER LMT
Practice Location Address:

12892 GREY ST
LOGAN, OH
43138-9638

Practice Phone: 740-590-6968
Practice Fax:

1790964401 — LINCARE INC.
Practice Location Address:

12875 GREY STREET
LOGAN, OH
43138-9638

Practice Phone: 740-380-6124
Practice Fax: 740-380-6574

1265603542 — TOTAL RENAL CARE INC
Practice Location Address:

12880 GREY ST
LOGAN, OH
43138-9638

Practice Phone: 740-380-6049
Practice Fax: 740-380-6280

1578993457 — BRETT KNOTT JR. LICDC-CS, LPC
Practice Location Address:

12888 GREY ST
LOGAN, OH
43138-9638

Practice Phone: 740-517-9272
Practice Fax:

1427455732 — LORIE A DOWNOUR LMT
Practice Location Address:

12886 GREY ST
LOGAN, OH
43138-9638

Practice Phone: 740-385-4141
Practice Fax:

1487004073 — PAMELA RAMAGE
Practice Location Address:

12896 GREY ST
LOGAN, OH
43138-9638

Practice Phone: 740-380-6354
Practice Fax:

Directions to “ CHERYL SPENCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.