Individual
LISA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, LPC
Contact information
Practice address
4121 UNION RD STE 225, SAINT LOUIS, MO 63129-1093
(314) 406-8193
Mailing address
8125 PARKWOOD DR, SAINT LOUIS, MO 63123-4830
(314) 406-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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