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Individual

DAVID C SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
157 BARRE STREET, MONTPELIER, VT 05602
(802) 229-8000
(802) 229-8030
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 229-8000
(802) 229-8030

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000100
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00029999
BC/BS VT
VT
05
1007323
VT
01
2102757
CIGNA
VT
01
360339
TRICARE
VT
01
989026C
MVP HEALTHCARE
VT
Enumeration date
10/11/2006
Last updated
03/30/2010
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