Provider Demographics
NPI:1154753846
Name:SPICER, MONICA MAGDALYN (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MAGDALYN
Last Name:SPICER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:HORAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:122 N BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8900
Mailing Address - Country:US
Mailing Address - Phone:989-593-0211
Mailing Address - Fax:517-668-2626
Practice Address - Street 1:122 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8900
Practice Address - Country:US
Practice Address - Phone:989-593-0211
Practice Address - Fax:517-668-2626
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional