Individual
DR. AVIS M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. D
Contact information
Practice address
77 SUGAR CREEK CENTER BLVD STE 600, SUGAR LAND, TX 77478-3688
(832) 384-4357
Mailing address
77 SUGAR CREEK CENTER BLVD STE 600, SUGAR LAND, TX 77478-3688
(832) 384-4357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348111102
—
TX
Enumeration date
05/20/2015
Last updated
06/19/2019
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