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Individual

MR. CARL G SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, MS, LIMHP

Contact information

Practice address
12035 Q STREET, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Mailing address
12035 Q STREET, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
568
NE

Other

Enumeration date
07/28/2006
Last updated
12/11/2014
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