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Individual

SHANAN SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
150 PARK AVE, FROSTBURG, MD 21532-2218
(301) 689-5034
(301) 689-5036
Mailing address
1180 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-3045
(240) 313-3071

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
86645
TX
101YP2500X
Professional Counselor
Primary
86645
TX
101YP2500X
Professional Counselor
LC2763
MD

Other

Enumeration date
07/29/2008
Last updated
09/18/2025
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