Individual
MRS. LUCY ROLDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCMFT
Contact information
Practice address
7940 PARALLEL PKWY, SUITE 1, KANSAS CITY, KS 66112-2050
(816) 694-9275
Mailing address
4131 N MULBERRY DR STE 245, KANSAS CITY, MO 64116-2259
(816) 694-9275
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006012562
MO
106H00000X
Marriage & Family Therapist
2005037146
MO
106H00000X
Marriage & Family Therapist
813
KS
Other
Enumeration date
02/15/2012
Last updated
08/27/2012
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