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Individual
MRS. CHRISTINA RENEE SMITH
Active
Individual
MRS. CHRISTINA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001514A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257045
ANTHEM
IN
05
—
100205420A
—
IN
01
—
589745000
MAGELLAN
IN
Enumeration date
02/09/2006
Last updated
07/15/2020
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