Individual
THOMAS DARRELL SPENCER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9633
(505) 820-1209
Mailing address
157 NINE MILE RD, SANTA FE, NM 87508-8912
(505) 426-5750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0169161
NM
101YM0800X
Mental Health Counselor
7453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6014487
—
NC
Enumeration date
09/18/2009
Last updated
03/22/2024
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