Doctor Name: | NARIMA SPENCER |
NPI Number: | 1508996810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 13221 W Cedar Creek Ct Homer Glen, IL - 604918609 |
Business Phone Number: | 7085326951 |
Business Fax Number: | 7085326952 |
Mailing Address: | 13221 W Cedar Creek Ct, HOMER GLEN |
State: | IL |
Postal Code: | 604918609 |
Phone Number: | 7085326951 |
Fax Number: | 7085326952 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |