Individual provider · Type 1 NPI
Sara Michelle Spencer
Mental Health Counselor · Centralia, IL
NPI number
1720335722
Active
Practice location
904 E. Mlk Dr.
Centralia, IL 62801
Mailing address
416 Westhaven Dr
Centralia, IL 62801-5739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | S15279381673 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1720335722
Sara Michelle Spencer's National Provider Identifier is 1720335722, issued on Aug 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Aug 8, 2012.