Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER L ELLIS, CASAC
ActiveAddiction (Substance Use Disorder) Counselor · JOPLIN, MO
Registration Details
- NPI Number
- 1851429294
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.1525781342 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1342 (MO)
Practice Information
- Address
-
2808 S. PICHER ST.JOPLIN, MO, 64803Browse MO providers · Browse ZIP 64803
- Phone
- 4173477700
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in JOPLIN, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JUDY VALERIA SEYMOUR | ICADC CSACII | 1467582379 |
| MR. MARK MCDONALD | MS, CSACII, CCGC | 1346371135 |
| STEPHEN CRAIG SUMMERS | MS | 1437283835 |
| MR. CHRISTOPHER SAMPSON | — | 1073947859 |
| MRS. LINDA ANN BOGUE | — | 1821422502 |
| ASHLEY BENNETT | MAADC1 | 1124511217 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.