Individual
LATISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(573) 230-6340
Mailing address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(573) 230-6340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018019060
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/01/2016
Last updated
05/22/2025
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