Individual
REBECCA K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1484 LAKESIDE DRIVE, JACKSON, KY 41339-6555
(606) 666-9950
(606) 666-9136
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253299
LCSW LICENSURE
KY
Enumeration date
07/26/2010
Last updated
03/13/2020
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