Individual
DARRYL ANTOINE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHCA
Contact information
Practice address
2719 E MADISON ST STE 200, MADISON, SEATTLE, WA 98112-4752
(206) 302-2600
(206) 302-2610
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60154149
WA
101YM0800X
Mental Health Counselor
Primary
MC60154149
WA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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