Doctor Name: | MR. JOSHUA B. SPINNEY |
NPI Number: | 1073940250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 6401013055 |
Business Practice Address: | 2312 Central Ave #b Cody, WY - 824148707 |
Business Phone Number: | 8106253038 |
Business Fax Number: | |
Mailing Address: | 2312 Central Ave, #b CODY |
State: | WY |
Postal Code: | 824148707 |
Phone Number: | 8106253038 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2013 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401013055 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |