Individual
ELISSA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
(417) 889-6307
Mailing address
4355 S NATIONAL AVE APT 2807, SPRINGFIELD, MO 65810-2670
(417) 274-9657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024008883
MO
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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