Individual
SPENCER JAMES SPACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
133 RACCOON TRCE, HUNTSVILLE, AL 35806-4023
(864) 907-5813
Mailing address
133 RACCOON TRCE, HUNTSVILLE, AL 35806-4023
(864) 907-5813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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