Individual
CHRISTINE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
972 MONTAUK HWY, BAYPORT, NY 11705-1612
(631) 472-9600
Mailing address
23 DENA DR, BLUE POINT, NY 11715-1109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010126
NY
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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