Individual
ERIC SCOTT SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 779-1282
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 779-1282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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