Provider Demographics
NPI:1073940250
Name:SPINNEY, JOSHUA B (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:B
Last Name:SPINNEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 CENTRAL AVE
Mailing Address - Street 2:#B
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-8707
Mailing Address - Country:US
Mailing Address - Phone:810-625-3038
Mailing Address - Fax:
Practice Address - Street 1:2312 CENTRAL AVE
Practice Address - Street 2:#B
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-8707
Practice Address - Country:US
Practice Address - Phone:810-625-3038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013055101YP2500X
WYLPC-1503101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional