Most Relevant Information
Provider Data
| NPI Number: | 1003554296 |
| Provider Name: | SPENCER KOHLER ACMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6388761-6009 |
Most Important Dates
| Enumeration Date: | 05/26/2022 |
| Last Updated: | 05/26/2022 |
Provider Practice Location
2069 N MAIN ST STE 101
CEDAR CITY
UT
847215602
Practice Location Phone/Fax
| Phone: | 4352674212 |
| Fax: |
Provider Mailing Location
PO BOX 1536
PAROWAN
UT
847611536
Provider Mailing Phone/Fax
| Phone: | 4353935122 |
| Fax: |