Individual
MRS. GAYLA JEAN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0705026
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169547795
—
AR
01
—
5A490
BCBS
AR
Enumeration date
06/28/2007
Last updated
05/22/2018
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