Individual
JENNIFER LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
503 N MAIN ST STE 324, PUEBLO, CO 81003-3139
(719) 281-4789
Mailing address
1317 N VERMILLION CT, PUEBLO, CO 81007-1345
(425) 903-1103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW.09928993
CO
101YM0800X
Mental Health Counselor
LW60157679
WA
1041C0700X
Clinical Social Worker
Primary
CSW.09928993
CO
1041C0700X
Clinical Social Worker
LW60157679
WA
106H00000X
Marriage & Family Therapist
LW60157679
WA
171M00000X
Case Manager/Care Coordinator
LW60157679
WA
Other
Enumeration date
08/14/2007
Last updated
01/20/2024
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