Provider Information for 1205494028
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Mrs. KEYONNE SPENCER MS, LPC
Sex: Female
NPI: 1205494028
Last Updated: 2022-01-10
Certification Date: 2022-01-10
Certification Date: 2022-01-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1205494028 | ||||||||
| Enumeration Date | 2019-06-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5507 COUNCIL GROVE LN HOUSTON, TX 77088-5516 United States Phone: 713-538-5210 | Fax: | ||||||||
| Primary Practice Address | 3845 CYPRESS CREEK PKWY STE 315 HOUSTON, TX 77068-3519 United States Phone: 832-509-2330 | Fax: | ||||||||
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