Individual
MS. JACQUELINE SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LAPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC001070
PA
101YM0800X
Mental Health Counselor
APC001070
PA
101YP2500X
Professional Counselor
Primary
APC001070
PA
Other
Enumeration date
03/22/2025
Last updated
03/28/2025
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