Individual
MR. LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
Mailing address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1473
MS
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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