Doctor Name: | JENNIFER L SPILLMAN |
NPI Number: | 1073720876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 18717 |
Business Practice Address: | 1020 Riverwood Ct # 3 Conroe, TX - 773042811 |
Business Phone Number: | 9365216300 |
Business Fax Number: | |
Mailing Address: | Po Box 2196, CONROE |
State: | TX |
Postal Code: | 773052196 |
Phone Number: | 2814674909 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 18717 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |