Doctor Name: | FRANKIE SPENCER |
NPI Number: | 1154554525 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADC |
License Number: | 1023 |
Business Practice Address: | 767 Main St West Liberty, KY - 414721019 |
Business Phone Number: | 6067433139 |
Business Fax Number: | 6067432720 |
Mailing Address: | Po Box 790, ASHLAND |
State: | KY |
Postal Code: | 411050790 |
Phone Number: | 6063298588 |
Fax Number: | 6063298195 |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |