Individual
BRIANA SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MHP
Contact information
Practice address
147 N MAIN ST, ELIZABETHTOWN, IL 62931-4463
(618) 287-7010
Mailing address
PO BOX 759, GOLCONDA, IL 62938-0759
(618) 683-2461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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