Johnathan Lee Spence, PRSS is a
Counselor - Addiction (substance Use Disorder) based in Cabin Creek, West Virginia. Johnathan Lee Spence is licensed to practice in * (Not Available) (license number ) and his current practice location is
200 Upper Kanawha Valley Way, Cabin Creek, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(681) 265-5090.
NPI number for Johnathan Lee Spence is 1548078264 and his current mailing address is 5198 Whitman Creek Rd, Logan, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548078264.
Healthcare Provider's Profile
Full Name | Johnathan Lee Spence |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 200 Upper Kanawha Valley Way, Cabin Creek, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548078264
- Provider Enumeration Date: 12/27/2024
- Last Update Date: 12/27/2024
Medical Identifiers
Medical identifiers for Johnathan Lee Spence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548078264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnathan Lee Spence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Johnathan Lee Spence, PRSS 5198 Whitman Creek Rd, Logan, WV 25601-8802 Ph: (304) 785-2220 | Johnathan Lee Spence, PRSS 200 Upper Kanawha Valley Way, Cabin Creek, WV 25035 Ph: (681) 265-5090 |
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