Individual
MR. JUSTIN L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
100 E SOMERSET CHURCH RD, SOMERSET, KY 42503-4977
(606) 451-9379
(606) 451-8149
Mailing address
PO BOX 2, SOMERSET, KY 42502-0002
(606) 451-9379
(606) 451-8149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100370000
—
KY
Enumeration date
01/15/2014
Last updated
12/22/2016
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