Individual
DANIELLA RAE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 283-2072
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 283-2072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023024560
MO
101YP2500X
Professional Counselor
Primary
2026004805
MO
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/18/2023
Last updated
02/02/2026
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