Provider Demographics
NPI:1255980553
Name:SPENCER, LAUREN NICOLE-TRITTIN (MS, LMFTA)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:NICOLE-TRITTIN
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MS, LMFTA
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:NICOLE
Other - Last Name:TRITTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFTA
Mailing Address - Street 1:PSC 400 BOX 1185
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96273-0012
Mailing Address - Country:US
Mailing Address - Phone:206-552-9280
Mailing Address - Fax:
Practice Address - Street 1:12913 50TH AVENUE CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7830
Practice Address - Country:US
Practice Address - Phone:206-552-9280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
60973292106H00000X
WA60973292106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist