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Individual

ALICIA BIANCA SPOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6300 GRELOT RD, MOBILE, AL 36609-3602
(602) 633-5666
Mailing address
6300 GRELOT ROAD, STE G #51133, MOBILE, AL 36609-3602
(602) 633-5666

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4223
AL
101YM0800X
Mental Health Counselor
LPC-21335
AZ
101YP2500X
Professional Counselor
Primary
4223
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4223
ALABAMA BOARD OF EXAMINERS IN COUNSELING LICENSED PROFESSIONAL COUNSELOR LICENSE
AL
01
LPC-21335
ARIZONA STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
07/05/2018
Last updated
05/25/2023
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