Spencer, Jason D.

Spencer, Jason D. is an individual health care provider with primary practice located at 373 Summit St , Elgin IL 60120-3733. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Spencer, Jason D. can be contacted via phone (844) 599-3700.

Contact Information

Primary practice address
373 Summit St Elgin IL 60120-3733
Phone: (844) 599-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180007800 Illinois

Profile Details

NPI number 1194003574
LBN Legal business name Spencer, Jason D.
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Mar 26th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194003574 NPPES
Illinois Other 180007800 LICENSE NUMBER

Popular Providers