Provider Demographics
NPI:1831886415
Name:SPEARS, JAMES ROSSER (MS, LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROSSER
Last Name:SPEARS
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11245 SIR WINSTON ST APT 1712
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2465
Mailing Address - Country:US
Mailing Address - Phone:325-232-3203
Mailing Address - Fax:
Practice Address - Street 1:13333 BLANCO RD STE 220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7755
Practice Address - Country:US
Practice Address - Phone:219-544-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty