Individual
DONALD RAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
117 N GARTH AVE, COLUMBIA, MO 65203-4103
(573) 443-2204
(573) 875-5851
Mailing address
204 METRO DR, SUITE B, JEFFERSON CITY, MO 65109-4408
(573) 634-4591
(573) 634-4792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2003019598
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467597872
JEFF CITY NPI
MO
01
—
1649269622
GROUP BILLING NPI
MO
Enumeration date
09/09/2005
Last updated
07/13/2007
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