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Individual

GUY G SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
6036 BIRCHBROOK DR APT 226, DALLAS, TX 75206-4470
(214) 361-1519
(972) 509-1450
Mailing address
PO BOX 601122, DALLAS, TX 75360-1122
(214) 361-1519
(972) 509-1450

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7431
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1260LC
BLUE CROSS
TX
Enumeration date
08/09/2006
Last updated
02/11/2008
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