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Individual

EMMANUEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1450 N BROADWAY, LEXINGTON, KY 40505-3162
(859) 433-7181
Mailing address
1450 N BROADWAY, LEXINGTON, KY 40505-3162
(859) 433-7181

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
04/23/2025
Last updated
04/23/2025
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