Individual
MR. NATHAN ALEXIS SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPECED
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13043522-6009
UT
Other
Enumeration date
08/10/2021
Last updated
04/27/2023
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