| Doctor Name: | MS. ROXANE BURCH SPICER |
| NPI Number: | 1114130572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.A. L.A.D.A.C |
| License Number: | 0127281 |
| Business Practice Address: | Southwest Highland Drive Crownpoint, NM - 87313 |
| Business Phone Number: | 5057862211 |
| Business Fax Number: | 5057862020 |
| Mailing Address: | Po Box 878, South West Highland Drive CROWNPOINT |
| State: | NM |
| Postal Code: | 87313 |
| Phone Number: | 5057862211 |
| Fax Number: | 5057862020 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 05/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0127281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |