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Jack W Spencer, MS,CAC,AD
Addiction (Substance Use Disorder) Counselor in Oakland, Maryland
NPI 1912384983

Jack W Spencer is an Addiction (Substance Use Disorder) Counselor based in Oakland, MD and is specialized in Addiction (Substance Use Disorder). Jack W Spencer practices in Oakland, MD and has the professional credentials of MS,CAC,AD. The NPI Number for Jack W Spencer is 1912384983 and holds a License No. AC0803 (Maryland).

The current practice location address for Jack W Spencer is 1025 Memorial Dr, Oakland, MD and can be reached out via phone at 301-334-7670 and via fax at 301-334-7671.

Location: 1025 Memorial Dr, Oakland, MD, 21550-4343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912384983
Provider Name
Jack W Spencer
Credential
MS,CAC,AD
Provider Entity Type
Individual
Gender
Male
Address
1025 Memorial Dr, Oakland, MD, 21550-4343
Phone Number
301-334-7670
Fax Number
301-334-7671
Provider Enumeration Date
04/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1025 Memorial Dr
City
Oakland
State
Maryland
Zip
21550-4343
Phone Number
301-334-7670
Fax Number
301-334-7671
person
Provider Business Mailing Address Details
Address
1025 Memorial Dr
City
Oakland
State
Maryland
Zip
21550-4343
Phone Number
301-334-7670
Fax Number
301-334-7671
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
AC0803 (Maryland)
Definition
Definition to come...
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