Individual
MRS. DALISHA LAREECE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1792 FALLS BLVD N STE 5, WYNNE, AR 72396-4093
(870) 208-9333
(479) 323-3912
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
(479) 323-3912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2306029
AR
171M00000X
Case Manager/Care Coordinator
—
—
174V00000X
Clinical Ethicist
—
—
Other
Enumeration date
04/20/2011
Last updated
12/18/2023
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