Individual
MRS. SHIRLEY ANN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., QMHP
Contact information
Practice address
1200 HILYARD ST, EUGENE, OR 97401-8122
(458) 205-7080
(458) 205-7089
Mailing address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401-4928
(541) 485-2711
(888) 975-0250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-16-443
OR
101YM0800X
Mental Health Counselor
R3226
OR
101YP2500X
Professional Counselor
Primary
C4647
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500716902
—
OR
05
—
500720361
—
OR
Enumeration date
10/20/2016
Last updated
03/17/2018
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