Individual
MARK W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Contact information
Practice address
2619 W. 6TH ST, SUITE C, LAWRENCE, KS 66049
(785) 830-8299
(614) 263-8268
Mailing address
2619 W. 6TH ST., SUITE C, LAWRENCE, KS 66049
(614) 263-8161
(614) 263-8268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0800480
OH
Other
Enumeration date
04/18/2011
Last updated
12/30/2016
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