Individual
MS. KIM MARI SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1217 W INDUSTRIAL RD, GUTHRIE, OK 73044-6029
(405) 464-1217
Mailing address
1217 W INDUSTRIAL RD, GUTHRIE, OK 73044-6029
(405) 464-1217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169
OK
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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