Individual
CAROLYN IVY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
702 SAN PEDRO AVE, SAN ANTONIO, TX 78212-4610
(210) 299-2400
(210) 226-0108
Mailing address
702 SAN PEDRO AVE, SAN ANTONIO, TX 78212
(210) 299-2400
(210) 226-0108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18756
TX
Other
Enumeration date
08/14/2007
Last updated
08/23/2007
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