Individual
MS. PRICILLA KAYE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.P.
Contact information
Practice address
711 LOGAN ST, NORFOLK, NE 68701-6003
(402) 371-1305
Mailing address
711 LOGAN ST, NORFOLK, NE 68701-6003
(402) 371-1305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025172300
—
NE
Enumeration date
11/01/2006
Last updated
07/08/2007
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