Individual
OLIVIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1905 STADIUM BLVD, JEFFERSON CITY, MO 65109-1961
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025008703
MO
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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