Individual
MR. CHESTER OVERBAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
225 S MERAMEC AVE, SUITE 214, CLAYTON, MO 63105-3511
(314) 721-7885
(314) 721-3611
Mailing address
225 S MERAMEC AVE, SUITE 214, CLAYTON, MO 63105-3511
(314) 721-7885
(314) 721-3611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000726
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11545373
CAQH UNIVERSAL CREDENTIAL
MO
Enumeration date
01/08/2007
Last updated
07/08/2007
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