Individual
WANDA BO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
710 GRAND AVE, SUITE 6, BILLINGS, MT 59101-5852
(406) 690-1616
(406) 294-2925
Mailing address
PO BOX 20794, BILLINGS, MT 59104-0794
(406) 690-1616
(406) 294-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1113 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000741360
BCBS
MT
05
—
0256165
—
MT
Enumeration date
02/21/2007
Last updated
11/13/2009
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