Individual
MAGEN MARIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCI
Contact information
Practice address
410 RIVER FRONT STREET, NENANA, AK 99760-0159
(907) 347-8093
(907) 832-5564
Mailing address
PO BOX 159, NENANA, AK 99760-0159
(907) 832-5557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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