Provider Demographics
NPI:1508996810
Name:SPENCER, NARIMA (LCPC)
Entity Type:Individual
Prefix:
First Name:NARIMA
Middle Name:
Last Name:SPENCER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:NARIMA
Other - Middle Name:
Other - Last Name:COSTA-SPENCER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:13221 W CEDAR CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-8609
Mailing Address - Country:US
Mailing Address - Phone:708-532-6951
Mailing Address - Fax:708-532-6952
Practice Address - Street 1:13221 W CEDAR CREEK CT
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-8609
Practice Address - Country:US
Practice Address - Phone:708-532-6951
Practice Address - Fax:708-532-6952
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional