Provider Demographics
NPI:1902453285
Name:SPEARS, STEVEN (LPC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1891 MAINE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-4272
Mailing Address - Country:US
Mailing Address - Phone:217-224-4080
Mailing Address - Fax:
Practice Address - Street 1:1891 MAINE ST STE 5
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-4272
Practice Address - Country:US
Practice Address - Phone:217-224-4080
Practice Address - Fax:217-224-4096
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178015085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional