Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LMHC
Contact information
Practice address
1156 OLD STATE ROAD 46, NASHVILLE, IN 47448-9211
(812) 988-2258
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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