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Organization
P. JEAN SMITH LMFT
Active
Organization
P. JEAN SMITH LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIPA JEAN SMITH SOLE PROPRIETOR (SOLE PROPRIETOR)
(559) 859-1911
Entity
Organization
Contact information
Practice address
204 N FLORAL ST, SUITE A, VISALIA, CA 93291-4957
(559) 406-9761
(484) 906-1676
Mailing address
204 N FLORAL ST, SUITE A, VISALIA, CA 93291-4957
(559) 406-9761
(484) 906-1676
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
7
CA
251S00000X
Community/Behavioral Health Agency
Primary
MFC45288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12575812
CAQH
CA
Enumeration date
01/29/2015
Last updated
01/29/2015
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