Individual
MS. IMA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 HIDDEN SPRING LN, LANDENBERG, PA 19350-9627
(610) 357-7378
Mailing address
4 HIDDEN SPRING LN, LANDENBERG, PA 19350-9627
(610) 357-7378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000417
DE
Other
Enumeration date
04/23/2007
Last updated
11/03/2011
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