Organization
NICOLE T SPAHL LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SPAHL (OWNER)
(520) 230-5152
Entity
Organization
Contact information
Practice address
9612 E BAILEYS TRL, HEREFORD, AZ 85615-8938
(520) 230-5152
Mailing address
9612 E BAILEYS TRL, HEREFORD, AZ 85615-8938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295828234
NPPES
—
Enumeration date
10/06/2022
Last updated
10/06/2022
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