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Kathy Marie Spencer
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1467928911

Kathy Marie Spencer is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Kathy Marie Spencer practices in San Diego, CA. The NPI Number for Kathy Marie Spencer is 1467928911 and holds a License No. 02840616 (California).

The current practice location address for Kathy Marie Spencer is 3255 Wing St, San Diego, CA and can be reached out via phone at 619-380-0596.

Location: 3255 Wing St, San Diego, CA, 92110-4638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467928911
Provider Name
Kathy Marie Spencer
Credential
Provider Entity Type
Individual
Gender
Female
Address
3255 Wing St, San Diego, CA, 92110-4638
Phone Number
619-380-0596
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3255 Wing St
City
San Diego
State
California
Zip
92110-4638
Phone Number
619-380-0596
Fax Number
person
Provider Business Mailing Address Details
Address
3255 Wing St
City
San Diego
State
California
Zip
92110-4638
Phone Number
619-380-0596
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
02840616 (California)
Definition
Definition to come...
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