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Contact Information

JOHNATHAN L SPENCE, PRSS
200 UPPER KANAWHA VALLEY WAY
CABIN CREEK, WV25035
 Phone: 681-265-5090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JOHNATHAN L SPENCE · (Male)

NPI # 1548078264
Status Active
Credentials PRSS
Entity Individual
Enumeration date 12/27/2024
Last updated 12/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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