Provider Demographics
NPI:1952453086
Name:SPENSLEY, SUSAN G (LPCC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:G
Last Name:SPENSLEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2501 SAN PEDRO DR NE
Mailing Address - Street 2:#106
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4131
Mailing Address - Country:US
Mailing Address - Phone:505-883-0191
Mailing Address - Fax:505-292-2924
Practice Address - Street 1:2501 SAN PEDRO DR NE
Practice Address - Street 2:#106
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4131
Practice Address - Country:US
Practice Address - Phone:505-883-0191
Practice Address - Fax:505-292-2924
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM3202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional