Individual
ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
237 E 6TH ST, RUSSELLVILLE, KY 42276-1917
(270) 726-3629
(270) 726-3115
Mailing address
237 E 6TH ST, RUSSELLVILLE, KY 42276-1917
(270) 726-3629
(270) 726-3115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
08/04/2009
Last updated
08/04/2009
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