Individual
MR. JASON D. SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
373 SUMMIT ST, ELGIN, IL 60120-3733
(844) 599-3700
Mailing address
373 SUMMIT ST, ELGIN, IL 60120-3733
(844) 599-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007800
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180007800
LICENSE NUMBER
IL
Enumeration date
08/02/2011
Last updated
03/26/2024
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