Individual
KATELYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
191 WOODPORT RD STE 209, SPARTA, NJ 07871-2645
(973) 512-3700
Mailing address
64 PARK RD, SPARTA, NJ 07871-2023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00898900
NJ
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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