Individual
MISS GLADYS A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,CCMHC
Contact information
Practice address
7006 STANFORD AVE, SAINT LOUIS, MO 63130-2334
(314) 422-4651
Mailing address
7006 STANFORD AVE, SAINT LOUIS, MO 63130-2334
(314) 422-4651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2086
MO
101YM0800X
Mental Health Counselor
2001029226
MO
101YP2500X
Professional Counselor
Primary
81701
MO
Other
Enumeration date
05/15/2007
Last updated
09/11/2025
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