Individual
MR. CHARLES B SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP, LMHC, CDGC
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
00813
IA
101YM0800X
Mental Health Counselor
Primary
914
NE
Other
Enumeration date
07/28/2006
Last updated
09/29/2016
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