Individual
GYNISES NICOLE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
Mailing address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84082
TX
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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