Individual
JOHN HUNTER SPENCER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSACA
Contact information
Practice address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-2180
(703) 396-7326
Mailing address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-2180
(703) 396-7326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0711000120
VA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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