Doctor Name: | JEFFERSON SPENCER |
NPI Number: | 1235592866 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3452 |
Business Practice Address: | 300 Office Park Dr Ste 220 Mountain Brk, AL - 352232473 |
Business Phone Number: | 2055383099 |
Business Fax Number: | |
Mailing Address: | 300 Office Park Drive Suite 220, BIRMINGHAM |
State: | AL |
Postal Code: | 35223 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/31/2016 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |