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Individual

MARCEY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
915 SOUTHWEST BLVD STE E, JEFFERSON CITY, MO 65109-5014
(641) 485-0602
(573) 679-3362
Mailing address
915 SOUTHWEST BLVD STE E, JEFFERSON CITY, MO 65109-5014
(641) 485-0602
(573) 679-3362

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080966
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101342
IA
Enumeration date
12/15/2017
Last updated
04/10/2023
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