Individual
MR. MARCUS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3017 N PRINCE ST STE B, CLOVIS, NM 88101-3804
(575) 749-2792
(888) 276-3843
Mailing address
517 ROSEWOOD DR, CLOVIS, NM 88101-9325
(575) 749-2792
(888) 276-3843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0163181
NM
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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