Individual
DR. MELISSA JOHANNA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
302 N MAIN ST, FAIRMONT, NC 28340-1730
(910) 628-6718
(910) 628-6719
Mailing address
PO BOX 369, FAIRMONT, NC 28340-0369
(910) 628-6718
(910) 628-6719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3727
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102694
—
NC
Enumeration date
03/15/2007
Last updated
07/08/2007
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