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Individual
XAVIER L SPANN
Active
Individual
XAVIER L SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
APC005387
GA
101YP2500X
Professional Counselor
Primary
LPC010825
GA
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APC005387
GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT
GA
01
—
LPC010825
GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT
GA
Enumeration date
06/14/2013
Last updated
06/11/2019
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