Individual
KAITLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 STARK RD # SUIETF, STARKVILLE, MS 39759-3682
(662) 601-4011
Mailing address
1085 STARK RD # SUIETF, STARKVILLE, MS 39759-3682
(622) 601-4011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-0930
MS
Other
Enumeration date
02/27/2018
Last updated
04/11/2024
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