Individual
JEREMY SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC, LPC
Contact information
Practice address
244 WASHINGTON ST, TRAVERSE CITY, MI 49684-2546
(231) 313-9998
Mailing address
833 E STATE ST, TRAVERSE CITY, MI 49686-2713
(231) 313-9998
(231) 714-4231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3915805
MI
101YP2500X
Professional Counselor
C1200119
OH
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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