Nicole T Spahl Lpc | |
9612 E Baileys Trl Hereford AZ 85615-8938 | |
(520) 230-5152 | |
Not Available |
Full Name | Nicole T Spahl Lpc |
---|---|
Speciality | Community/behavioral Health |
Location | 9612 E Baileys Trl, Hereford, Arizona |
Authorized Official Name and Position | Nicole Spahl (OWNER) |
Authorized Official Contact | 5202305152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicole T Spahl Lpc 9612 E Baileys Trl Hereford AZ 85615-8938 Ph: () - | Nicole T Spahl Lpc 9612 E Baileys Trl Hereford AZ 85615-8938 Ph: (520) 230-5152 |
NPI Number | 1912622424 |
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Provider Enumeration Date | 10/06/2022 |
Last Update Date | 10/06/2022 |
Certification Date | 10/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912622424 | NPI | - | NPPES |
1295828234 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |