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Sara Michelle Spencer
Mental Health Counselor in Centralia, Illinois
NPI 1720335722

Sara Michelle Spencer is a Mental Health Counselor based in Centralia, IL and is specialized in Mental Health. Sara Michelle Spencer practices in Centralia, IL. The NPI Number for Sara Michelle Spencer is 1720335722 and holds a License No. S15279381673 (Illinois).

The current practice location address for Sara Michelle Spencer is 904 E. Mlk Dr., Centralia, IL and can be reached out via phone at 618-533-1391.

Location: 904 E. Mlk Dr., Centralia, IL, 62801-5739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720335722
Provider Name
Sara Michelle Spencer
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 E. Mlk Dr., Centralia, IL, 62801-5739
Phone Number
618-533-1391
Fax Number
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
904 E. Mlk Dr.
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
person
Provider Business Mailing Address Details
Address
904 E. Mlk Dr.
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
S15279381673 (Illinois)
Definition
Definition to come...
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