Individual
MR. JUSTIN M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LCADC
Contact information
Practice address
3450 E RUSSELL RD, SUITE 214, LAS VEGAS, NV 89120-2201
(702) 530-8894
Mailing address
3450 E RUSSELL RD, SUITE 214, LAS VEGAS, NV 89120-2201
(702) 530-8894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00403-LC
NV
106H00000X
Marriage & Family Therapist
Primary
01321
NV
Other
Enumeration date
04/13/2012
Last updated
10/01/2016
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