Individual
MICHAEL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA COUNSELING
Contact information
Practice address
10080 E US HIGHWAY 36 STE A, AVON, IN 46123-8174
(317) 790-9396
Mailing address
6648 E 14TH ST, INDIANAPOLIS, IN 46219-3404
(317) 513-6722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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